Beverly Larue

Physical Therapy Assistant · Phoenix, AZ

Individual Active NPI

NPI number 1639786106

Practice location

7540 N 19TH Ave Ste 200
Phoenix, AZ 85021-7967
Phone
(888) 873-4221

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NPI record

NPI
1639786106
Entity type
Individual (Type 1)
Enumeration date
September 28, 2020
Last updated
September 28, 2020
Certified
September 28, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 40QB00195500 NJ

About Beverly Larue

Beverly Larue is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 7540 N 19TH Ave Ste 200, Phoenix, AZ 85021-7967. The NPI number 1639786106 was assigned on September 28, 2020 and the record was last updated on September 28, 2020.

Beverly Larue lists a license in the registry: #40QB00195500 (NJ) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Beverly Larue?

The NPI number is 1639786106.

What is the phone number of Beverly Larue?

The phone number listed for the practice location is (888) 873-4221.

Where is Beverly Larue located?

7540 N 19TH Ave Ste 200, Phoenix, AZ 85021-7967.

What is the taxonomy code for Beverly Larue?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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