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BRIAN BEAUDOIN PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114133006

Individual Registrant:
 BRIAN  BEAUDOIN PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
208 REDWOOD AVE  CORTE MADERA, CA 94925-1572 US
Tel: 415-924-7757  Fax: 415-924-9725

Contact information for business:
208 REDWOOD AVE  CORTE MADERA, CA 94925-1572 US
Tel: 415-924-7757  Fax: 415-924-9725

Registration Information:
NPI: 1114133006
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA010827

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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