Provider Demographics
NPI:1205117843
Name:SINGLETON, BEVERLY JEANETTE (PT)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:JEANETTE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BEVERLY
Other - Middle Name:GUY
Other - Last Name:SINGLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8701 EAGLEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-3017
Mailing Address - Country:US
Mailing Address - Phone:682-365-7296
Mailing Address - Fax:
Practice Address - Street 1:8701 EAGLEVIEW CT
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-3017
Practice Address - Country:US
Practice Address - Phone:817-236-7472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1015139225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist