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MR. JEFFREY BEDENBAUGH RPT
Orthopedic >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1629454806
Individual Registrant:MR. JEFFREY BEDENBAUGH RPT
Gender: M
Sole Proprietor
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
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
Tel: 386-329-2613 Fax: 386-329-2614
Registration Information:
NPI: 1629454806
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Orthopedic | FL | PT3977 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
