Individual
CRISTIN CONWAY BEAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-7021
Mailing address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-7021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204732
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004909976
—
VA
Enumeration date
09/26/2007
Last updated
04/04/2017
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