BRIAN KEITH BEAVER

WHEELING, WV
NPI1861102295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA001480)
Enumeration Date2022-11-28
Last Update Date2022-11-28
Business Address
BRIAN KEITH BEAVER
103 FERNWOOD AVE
WHEELING, WV 26003-5030
Phone number: 304-242-4457
Mailing Address
BRIAN KEITH BEAVER
103 FERNWOOD AVE
WHEELING, WV 26003-5030
Phone number: 304-242-4557