Doctor Name: | DR. JACQUES L BEAUCHAMP |
NPI Number: | 1497703318 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT,DPT,SCS,OCS,ATC |
License Number: | PT007231 |
Business Practice Address: | 135 Goshen Road Ext Ste 206 Rincon, GA - 313265567 |
Business Phone Number: | 9128263797 |
Business Fax Number: | 9128269767 |
Mailing Address: | 135 Goshen Road Ext, Ste 206 RINCON |
State: | GA |
Postal Code: | 313265567 |
Phone Number: | 9128263797 |
Fax Number: | 9128269767 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007231 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
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 |