Healthcare Provider Details

I. General information

NPI: 1790711182
Provider Name (Legal Business Name): BEVERLY J WESTERMAN ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 23RD STREET NW
WASHINGTON DC
20052-0001
US

IV. Provider business mailing address

5300 22ND ST N
ARLINGTON VA
22205-3162
US

V. Phone/Fax

Practice location:
  • Phone: 202-994-3862
  • Fax:
Mailing address:
  • Phone: 703-536-8670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: