Provider Demographics
NPI:1972751246
Name:SIMS, BEATRICE LOUISE (MS PT)
Entity Type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:LOUISE
Last Name:SIMS
Suffix:
Gender:F
Credentials:MS PT
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2125 S WESTBORO AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3720
Mailing Address - Country:US
Mailing Address - Phone:626-289-3943
Mailing Address - Fax:626-289-3943
Practice Address - Street 1:2125 S WESTBORO AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3720
Practice Address - Country:US
Practice Address - Phone:626-289-3943
Practice Address - Fax:626-289-3943
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 8440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist