IndividualActive
Beverly Lavigne
NPI 1831595149 · Physical Therapy Assistant · Phoenix, AZ
Provider details
- NPI number
- 1831595149
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA10691A (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
16023 S 31st Way
Phoenix, AZ 85048-7725
Phone: (480) 478-8777
Approximate (ZIP-level) locationGet directions
Mailing address
16023 S 31st Way
Phoenix, AZ 85048-7725
Registry dates
- Enumerated
- 2014-11-13
- Last updated
- 2014-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.