Provider Demographics
NPI:1912214636
Name:WALSH, BEVERLY APPL (DPT)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:APPL
Last Name:WALSH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 N COALTER ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-2552
Mailing Address - Country:US
Mailing Address - Phone:540-213-1320
Mailing Address - Fax:540-213-1323
Practice Address - Street 1:511 JERMOR LN
Practice Address - Street 2:SUITE 102
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6151
Practice Address - Country:US
Practice Address - Phone:410-876-8076
Practice Address - Fax:410-876-3818
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA294690225100000X
MD23375225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist