Doctor Name: | JESSICA BEALL |
NPI Number: | 1356311948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 21632 |
Business Practice Address: | 2000 Medical Pkwy Suite 101 Annapolis, MD - 214013742 |
Business Phone Number: | 4102688862 |
Business Fax Number: | 4102804701 |
Mailing Address: | 2000 Medical Pkwy, Suite 101 ANNAPOLIS |
State: | MD |
Postal Code: | 214013742 |
Phone Number: | 4102688862 |
Fax Number: | 4102804701 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |