Doctor Name: | PROF. GARY BEARD |
NPI Number: | 1396847414 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, PT |
License Number: | 62 014054 |
Business Practice Address: | 8 Research Pkwy Wallingford, CT - 064921930 |
Business Phone Number: | 2032941998 |
Business Fax Number: | |
Mailing Address: | 8 Research Pkwy, WALLINGFORD |
State: | CT |
Postal Code: | 064921930 |
Phone Number: | 2032941998 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 04/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 62 014054 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |