Individual
MRS. LEA CAROLINE BEVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7255 E BROADWAY RD, MESA, AZ 85208-9201
(480) 981-8844
(480) 981-8844
Mailing address
1610 W DESERT BROOM DR, CHANDLER, AZ 85248-3671
(480) 699-8292
(480) 699-8292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5456
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090722
ARIZONA HEALTH CARE COST
AZ
Enumeration date
07/11/2007
Last updated
07/11/2007
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