Individual
DANEITH R BEADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 BRUCKNER BLVD, APT # 6F, BRONX, NY 10473-3745
(646) 685-9776
Mailing address
1810 BRUCKNER BLVD, APT # 6F, BRONX, NY 10473-3745
(646) 685-9776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0362941
NY
225200000X
Physical Therapy Assistant
Primary
0063011
NY
Other
Enumeration date
08/02/2011
Last updated
07/16/2013
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