Individual
MICHAEL BEECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
35 RIVER RD, 2ND FLOOR (PERFORMANCE PHYSICAL THERAPY), COS COB, CT 06807-2759
(203) 422-0679
(203) 422-0931
Mailing address
55 BYWATER LN, BRIDGEPORT, CT 06605-3115
(631) 241-5405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008584
CT
225100000X
Physical Therapist
Primary
5775
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008584
STATE
CT
01
—
5775
LICENSE
SC
Enumeration date
08/13/2008
Last updated
11/18/2009
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