Organization
GUARDIAN DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BEAUDOIN MPT (OWNER/PHYSICAL THERAPIST)
(215) 742-8099
Entity
Organization
Contact information
Practice address
2127 RHAWN ST, PHILADELPHIA, PA 19152-3216
(215) 742-8099
(215) 742-1871
Mailing address
2127 RHAWN ST, PHILADELPHIA, PA 19152-3216
(215) 742-8099
(215) 742-1871
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PT012778L
PA
Other
Enumeration date
10/17/2008
Last updated
11/19/2008
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