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MR. JEFFREY BEDENBAUGH RPT

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

Registrant NPI Number: 1629454806

Individual Registrant:
MR. JEFFREY  BEDENBAUGH RPT
Gender: M
Sole Proprietor

Location and contact information for practice:
3715 CRILL AVE  PALATKA, FL 32177-9168 US
Tel: 386-329-2613  Fax: 386-329-2614

Contact information for business:
3715 CRILL AVE  PALATKA, FL 32177-9168 US
Tel: 386-329-2613  Fax: 386-329-2614

Registration Information:
NPI: 1629454806
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Orthopedic
FLPT3977

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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