Beverly Larue
Beverly Larue is a Physical Therapy Assistant in Phoenix, Arizona. Licensed in New Jersey. Registered with an NPI since 2020.
- Licensed in
- NJ
- In the registry since
- 2020
Practice location Address checks out
7540 N 19th Ave Ste 200Phoenix, AZ 85021-7967
Phone: (888) 873-4221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 40QB00195500 (NJ) |
|---|
Record details
| NPI number | 1639786106 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 28, 2020 |
| Last updated in NPPES | September 28, 2020 |
| Certification date | September 28, 2020 |
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Melissa Lee Lang
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