Individual
DR. BEULAH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
LAKEVIEW VILLAGE, 9100 PARK ST., LENEXA, KS 66215
(913) 888-1900
Mailing address
6115 GREENWOOD ST., SHAWNEE, KS 66216
(913) 909-8619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05021
KS
Other
Enumeration date
12/27/2018
Last updated
12/28/2018
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