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Individual

BRIAN KEITH BEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
103 FERNWOOD AVE, WHEELING, WV 26003-5030
(304) 242-4457
Mailing address
103 FERNWOOD AVE, WHEELING, WV 26003-5030
(304) 242-4557

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001480
WV

Other

Enumeration date
11/28/2022
Last updated
11/28/2022
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