Individual
SARAH ELIZABETH BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
341 GREENO RD N, FAIRHOPE, AL 36532-2979
(251) 928-2401
(251) 928-5099
Mailing address
341 GREENO RD N, FAIRHOPE, AL 36532-2979
(251) 928-2401
(251) 928-5099
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTH6154
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131172
—
AL
05
—
131174
—
AL
01
—
528700580
MEDICAID GROUP
—
Enumeration date
07/11/2011
Last updated
03/30/2015
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