| NPI | 1386626984 |
|---|---|
| Former Name | JEANNINE BEAUMONT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CO6362) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT17204) |
| 2251S0007X Physical Therapist, Sports (Licence: CO CO6362) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO CO6362) | |
| 225X00000X Occupational Therapist (Licence: CO CO6362) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |