| Doctor Name: | BEENA MATHEW |
| NPI Number: | 1174952766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5501008344 |
| Business Practice Address: | 5211, Marsh Road Okemos Health And Rehabilitation Center Okemos, MI - 48823 |
| Business Phone Number: | 5173191383 |
| Business Fax Number: | |
| Mailing Address: | 6521 Periwinkle Ln, EAST LANSING |
| State: | MI |
| Postal Code: | 488239640 |
| Phone Number: | 5177754098 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2013 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 5501008344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |