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NPI Code Detail

MEDICARE: STEFANIE BEAN DPT

MEDICARE: STEFANIE BEAN DPT
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
1225100000XPhysical TherapistCP051279TVA
2225100000XPhysical Therapist5225NH

General Provider Information

NPI Number : 1558719021
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE BEAN DPT
Provider Business Mailing Address
First Line : 2404 POTTERS RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-4335
Country : US
Telephone Number : 757-961-5888
Fax Number : 757-340-6210
Provider Business Practice Location Address
First Line : 2404 POTTERS RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-4335
Country : US
Telephone Number : 757-961-5888
Fax Number : 757-340-6210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2016
Last Update Date : 02/02/2026

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Directions to “ STEFANIE BEAN DPT” Practice Location

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