Individual
JAMES BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
888 WHITE PLAINS RD, TRUMBULL, CT 06611-4552
(203) 459-1133
Mailing address
130 BIRO ST, FAIRFIELD, CT 06825-5406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3473
LICENSE#
CT
Enumeration date
10/10/2006
Last updated
07/08/2007
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