Provider Demographics
NPI:1114263662
Name:BEEKMAN WOLF, MAUREEN
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:BEEKMAN WOLF
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:MURPHY
Other - Last Name:BEEKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, CCI, BS
Mailing Address - Street 1:2870 W 232ND ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2855
Mailing Address - Country:US
Mailing Address - Phone:310-755-5235
Mailing Address - Fax:424-263-4150
Practice Address - Street 1:2870 W 232ND ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2855
Practice Address - Country:US
Practice Address - Phone:310-755-5235
Practice Address - Fax:424-263-4150
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10782225100000X, 2251G0304X, 2251H1200X, 2251H1300X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
No2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman Factors