MS. Tana Elizabeth Beverwyk-Abouda, CPT, EIM
NPI #1770170219 in Espanola, New Mexico
Provider Information
- NPI Number
- 1770170219
- Entity Type
- Individual
- Name
- MS. Tana Elizabeth Beverwyk-Abouda, CPT, EIM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- CPT, EIM
- Enumeration Date
- Dec 30, 2020
- Last Updated
- Dec 30, 2020
Practice Location
- Address
- 628 N RIVERSIDE DR STE C
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2620
- Phone
- (505) 927-8516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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