Alicia Joy Beanblossom L.M.T.

NPI 1750566139 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1750566139
Gender Female
Enumeration Date 01/04/2008
Last Updated 01/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6853 W IRONWOOD DR
PEORIA AZ, 85345-6843, US
Phone (623) 826-9116
Fax
Business Location
6853 W IRONWOOD DR
PEORIA AZ, 85345-6843, US
Phone (623) 826-9116
Fax
Toxanomy
Taxonomy Code 208100000X
License State Iowa
License Number 03882
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According to our database, Mrs. Alicia Joy Beanblossom L.M.T. NPI is 1750566139, taxonomy code is 208100000X and license number is 03882, license state is located at Iowa. Alicia Joy Beanblossom L.M.T. physically located at 6853 W Ironwood Dr, Peoria AZ, 85345-6843. NPI Number Alicia Joy Beanblossom L.M.T. has the Individual type.

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1750566139 NPI number is provided on an as is basis without warranty of any kind. 1750566139 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Joy Beanblossom L.M.T. are for informational purposes only.