Individual
TIMOTHY BEACHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1625 STRAITS TPKE STE 303, MIDDLEBURY, CT 06762-1836
(203) 598-0400
(203) 598-0852
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1458
(203) 419-0381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2332
CT
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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