IndividualActive
Beverly Larue
NPI 1639786106 · Physical Therapy Assistant · Phoenix, AZ
Provider details
- NPI number
- 1639786106
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 40QB00195500 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7540 N 19th Ave Ste 200
Phoenix, AZ 85021-7967
Phone: (888) 873-4221
Approximate (ZIP-level) locationGet directions
Mailing address
7540 N 19th Ave Ste 200
Phoenix, AZ 85021-7967
Registry dates
- Enumerated
- 2020-09-28
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.