Individual
MRS. BEVERLY JOANNE MOREFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
151 PIONEER LANE, BISHOP, CA 93514
(760) 872-1000
(760) 872-1643
Mailing address
147 RUNNING IRON RD, BISHOP, CA 93514
(760) 872-1937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AT5661
CA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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