Individual
BEA SHANIN I IBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 NEW GARDEN RD, GREENSBORO, NC 27410-3233
(336) 851-0612
Mailing address
2952 GLEN ECHO CT, HIGH POINT, NC 27265-8234
(336) 686-6762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7455
NC
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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