Individual
CHRISTINE ELIZABETH BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1713 MADISON AVE, NEW YORK, NY 10029-1801
(646) 273-5555
Mailing address
160 W 66TH ST APT 19H, NEW YORK, NY 10023-6557
(646) 907-9795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
043315
NY
Other
Enumeration date
08/17/2018
Last updated
01/21/2022
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