Stephen Eugene Beasley, PT

NPI #1164534871 in Springfield, Illinois

Provider Information

NPI Number: 1164534871
Entity Type: Individual
Name: Stephen Eugene Beasley, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 320 E. CARPENTER STREET
City: Springfield
State: Illinois
ZIP Code: 62702
Phone: (217) 744-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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