Individual
ELIZABETH RENEE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 FORT PIERPONT DR STE 107, MORGANTOWN, WV 26508-1327
(304) 322-4232
(043) 224-2353
Mailing address
1509 FAIRMONT AVE, FAIRMONT, WV 26554-2135
(304) 363-0050
(304) 363-0048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001200
LICENSE
WV
01
—
001716788
BC/BS
WV
05
—
0157726000
—
WV
01
—
9335681
GROUP
WV
Enumeration date
09/02/2005
Last updated
09/30/2020
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