DR. Michael Beavin, PT, DPT

NPI #1316393713 in Salem, Illinois

Provider Information

NPI Number
1316393713
Entity Type
Individual
Name
DR. Michael Beavin, PT, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
May 4, 2016
Last Updated
May 4, 2016

Practice Location

Address
1201 HAWTHORN RD
City
Salem
ZIP Code
62881-1028
Phone
(618) 322-9896

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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