Individual
JAMIE T BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1800 CAMELOT DR, SUITE 300, VIRGINIA BEACH, VA 23454-2440
(757) 321-3300
(757) 321-3332
Mailing address
230 CLEARFIELD AVE, SUITE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3300
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204816
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010335141
—
VA
Enumeration date
10/13/2006
Last updated
08/12/2008
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