Individual
BEVERLY NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 EDEN PARK DR, DEARBORN HEIGHTS, MI 48127-1997
(313) 729-5438
Mailing address
1 EDEN PARK DR, DEARBORN HEIGHTS, MI 48127-1997
(313) 729-5438
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000826
MI
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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