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Individual
STEPHANIE A BEDARD
Active
Individual
STEPHANIE A BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18724
MD
225100000X
Physical Therapist
J1-0002114
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154432268
DPCI
DE
05
—
1154432268
—
DE
05
—
2449072
—
MD
01
—
2519964
HIGHMARK
DE
01
—
3763407000
IBC
DE
01
—
AC44-0051
CAREFIRST
DE
01
—
P00692856
RAILROAD MEDICARE
DE
Enumeration date
08/31/2006
Last updated
07/22/2024
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