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JAMES BEAM
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1962590786
Individual Registrant: JAMES BEAM
Gender: M
Not Sole Proprietor
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: --
Tel: 203-459-1133 Fax: --
Contact information for business:
130 BIRO ST FAIRFIELD, CT 06825-5406 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1962590786
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LICENSE# | 3473 | CT | 01 |
