Provider Demographics
NPI:1699987685
Name:BEAUCHAMP, ANITA MURRAY (MA, ATC)
Entity type:Individual
Prefix:MISS
First Name:ANITA
Middle Name:MURRAY
Last Name:BEAUCHAMP
Suffix:
Gender:F
Credentials:MA, ATC
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Mailing Address - Street 1:6410 EDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2106
Mailing Address - Country:US
Mailing Address - Phone:513-470-8258
Mailing Address - Fax:513-541-0343
Practice Address - Street 1:6410 EDWOOD AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2106
Practice Address - Country:US
Practice Address - Phone:513-470-8258
Practice Address - Fax:513-541-0343
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer