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Individual
MR. JEFFREY TODD BEKENDAM
Active
Individual
MR. JEFFREY TODD BEKENDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 14201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 14201
PHYSICAL THERAPIST LICENS
CA
Enumeration date
10/11/2006
Last updated
09/13/2022
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