Individual
VALENCIA REYNOLDS BEAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1834 HIGHWAY 17, CAMDEN, MS 39045-9005
(662) 571-4889
(662) 468-0622
Mailing address
1834 HIGHWAY 17, CAMDEN, MS 39045-9005
(662) 571-4889
(662) 468-0622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3180
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014160
—
MS
Enumeration date
05/04/2009
Last updated
05/13/2014
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