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Contact Information

TINA L BEAM, PTA
19583 N. STATE HWY 130
HIDALGO, IL62432
 Phone: 618-554-5008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TINA L BEAM · (Female)

NPI Number 1033663257
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/04/2016
Last updated 08/04/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 160004796
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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