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Individual

KERRI BEAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1424 US HIGHWAY 1, SEBASTIAN, FL 32958-1619
(772) 581-4244
Mailing address
4930 GROVERS RD, FORT PIERCE, FL 34951-3223
(772) 633-6068

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20011
LICENSE#
FL
Enumeration date
11/17/2006
Last updated
07/08/2007
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