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Organization
REPAIR NB PHYSICAL THERAPY, CORP
Active
Organization
REPAIR NB PHYSICAL THERAPY, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BEAUCHAMP (OWNER)
(714) 377-4314
Entity
Organization
Contact information
Practice address
20311 SW BIRCH ST STE 150, NEWPORT BEACH, CA 92660-1779
(714) 377-4314
Mailing address
PO BOX 1122, RHINELANDER, WI 54501-1122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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