Individual
AMY EMIKO BEAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 HIGHWAY 71, SUITE 2, SEA GIRT, NJ 08750
(732) 974-7500
Mailing address
2405 WOODLAND AVE, SPRING LAKE, NJ 07762
(303) 459-2365
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00398500
NJ
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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