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JAMES BEAM

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1962590786

Individual Registrant:
 JAMES  BEAM 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
888 WHITE PLAINS RD  TRUMBULL, CT 06611-4552 US
Tel: 203-459-1133  Fax: --

Contact information for business:
130 BIRO ST  FAIRFIELD, CT 06825-5406 US
Tel: --  Fax: --

Registration Information:
NPI: 1962590786
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSE#3473CT01




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