| NPI | 1568522118 |
|---|---|
| Former Name | BEVERLY SHELTON NESMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L4597) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IA MD-42072) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WV 29551) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 01084275A) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA11025800) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 315993) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.145450) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-10-05 |