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Individual

THERESA MARIE BEAUREGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
50505 SCHOENHERR RD STE 120, SHELBY TOWNSHIP, MI 48315-3140
(586) 710-2306
(586) 412-4626
Mailing address
5909 BELLE RIVER RD, CHINA, MI 48054-3306
(586) 291-1335
(586) 412-4626

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000296
MI
2255A2300X
Athletic Trainer

Other

Enumeration date
01/31/2007
Last updated
03/02/2022
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