Individual
JEFFERY BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3936 CROSSWINDS DRIVE, ROCKY MOUNT, NC 27803
(252) 452-9701
Mailing address
3936 CROSSWINDS DRIVE, ROCKY MOUNT, NC 27803
(252) 452-9701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2492
NC
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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