BILLY KEVIN BEACH

BOGALUSA, LA
NPI1386905867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A8335R)
Enumeration Date2012-05-31
Last Update Date2012-05-31
Business Address
-- BILLY KEVIN BEACH PTA
528 AVENUE F
BOGALUSA, LA 70427-3636
Phone number: 985-735-1112
Mailing Address
-- BILLY KEVIN BEACH PTA
528 AVENUE F
BOGALUSA, LA 70427-3636
Phone number: 985-735-1112
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