Individual
AMY D. BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
6970 FOX HUNT LN, GLOUCESTER, VA 23061-5394
(804) 694-8111
(804) 694-5574
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202625
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010243025
—
VA
05
—
1649232893
—
VA
01
—
192960
BCBS PHYSICAL THERAPY
VA
01
—
7202804
AETNA
VA
01
—
P00308715
MEDICARE RAILROAD
VA
Enumeration date
04/04/2006
Last updated
04/16/2018
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