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Individual
PROF. GARY BEARD
Active
Individual
PROF. GARY BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008038
CT
225100000X
Physical Therapist
62 014054
NY
Other
Enumeration date
09/01/2006
Last updated
04/13/2011
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