Avon C Beacham, ATC, LAT
Specialist/Technologist, Athletic Trainer in Akron, OH. Individual provider (NPI-1).
NPI number1184836934
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184836934
- Entity type
- Individual (NPI-1)
- Name
- Ms. Avon C Beacham
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT.002498 | OH | Yes |
Practice location
671 Nome AveAkron, OH 44320-1879
Phone 330-867-5461
Mailing address
671 Nome AveAkron, OH 44320-1879
Phone 330-867-5461
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