JANIS KATHLEEN BEAM

KISSIMMEE, FL
NPI1407537657
Former NameJANIS KATHLEEN DAVENPORT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA32927)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: MD  A4223)
Enumeration Date2023-07-31
Last Update Date2023-07-31
Business Address
Mrs. JANIS KATHLEEN BEAM PTA
1200 N CENTRAL AVE
KISSIMMEE, FL 34741-4450
Phone number: 407-201-7429
Mailing Address
Mrs. JANIS KATHLEEN BEAM PTA
105 MANDARIN LN
FRUITLAND PARK, FL 34731-3001
Phone number: 765-414-1803