NPI | 1295300572 |
---|---|
Former Name | STEPHANIE BEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1345915) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1345915) |
Enumeration Date | 2021-05-20 |
Last Update Date | 2025-08-28 |