Provider Demographics
NPI:1376725804
Name:BEAVIS, JAMIE LEE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MISS
First Name:JAMIE
Middle Name:LEE
Last Name:BEAVIS
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Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:PO BOX 500409
Mailing Address - Street 2:LOWER NAVY HILL COMMONWEATH HEALTH CENTER CK PHYSICAL T
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:670-236-8327
Mailing Address - Fax:670-234-8930
Practice Address - Street 1:1 LOWER NAVY HILL ROAD
Practice Address - Street 2:COMMONWEALTH HEALTH CENTER PHYSICAL THERAPY DEPT
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-236-8327
Practice Address - Fax:670-234-8930
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
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Provider Licenses
StateLicense IDTaxonomies
MP14225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist