Individual
JAMES DARREN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 ANDREWS AVENUE, FORT RUCKER, AL 36360
(334) 685-2673
Mailing address
9027 S ROCKY CREEK RD, COTTONWOOD, AL 36320-4406
(334) 685-2673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26823
FL
Other
Enumeration date
11/10/2016
Last updated
09/12/2018
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