Individual
AMY BEVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2333 N BRENTWOOD CIR, LECANTO, FL 34461-8536
(352) 746-6600
Mailing address
1921 W CHELSEA ANN WAY, LECANTO, FL 34461-7649
(410) 530-3467
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTA32532
FL
225200000X
Physical Therapy Assistant
Primary
PTA32532
FL
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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