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NPI Code Detail

MEDICARE: CARRIE BEEMAN PTA

MEDICARE: CARRIE BEEMAN PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant1159WV

General Provider Information

NPI Number : 1174235626
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE BEEMAN PTA
Provider Business Mailing Address
First Line : 1952 NEW CREEK HWY
Second Line :
City : KEYSER
State : WV
Zip : 26726-7494
Country : US
Telephone Number : 304-597-3522
Fax Number :
Provider Business Practice Location Address
First Line : 1952 NEW CREEK HWY
Second Line :
City : KEYSER
State : WV
Zip : 26726-7494
Country : US
Telephone Number : 304-597-3522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2022
Last Update Date : 12/15/2022

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Directions to “ CARRIE BEEMAN PTA” Practice Location

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