| Doctor Name: | JASON PAUL BEAMAN |
| NPI Number: | 1003238502 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | J1-0001410 |
| Business Practice Address: | 905 Newgate Ln Wilmington, DE - 198081527 |
| Business Phone Number: | 3026369363 |
| Business Fax Number: | |
| Mailing Address: | 905 Newgate Ln, WILMINGTON |
| State: | DE |
| Postal Code: | 198081527 |
| Phone Number: | 3026369363 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2014 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | J1-0001410 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |