Individual
MRS. JANE LASTER BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
6298 VETERANS PKWY, SUITE 5A, COLUMBUS, GA 31909-6258
(706) 320-5468
Mailing address
436 WESTMORELAND RD, COLUMBUS, GA 31904-2867
(706) 494-3871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002599
GA
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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