Provider Demographics
NPI:1457623365
Name:BEESON, HAROLD RICHARD III (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:RICHARD
Last Name:BEESON
Suffix:III
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20268 PLANTATIONS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4622
Mailing Address - Country:US
Mailing Address - Phone:302-727-0075
Mailing Address - Fax:302-449-2047
Practice Address - Street 1:20268 PLANTATIONS RD
Practice Address - Street 2:SUITE B
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4622
Practice Address - Country:US
Practice Address - Phone:302-727-0075
Practice Address - Fax:302-449-2047
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEJ1-0002825OtherDE DOS PT LICENCE