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Individual
CALEB BERAUD
Active
Individual
CALEB BERAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
120104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120104
OT BOARD TEXAS
TX
Enumeration date
09/06/2019
Last updated
09/06/2019
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