Individual
MISS BEVERLY ANN BIONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
84 UNDERPASS RD, BREWSTER, MA 02631
(508) 241-5373
(508) 896-2873
Mailing address
86 THE TIDES CT, BREWSTER, MA 02631
(508) 241-5373
(508) 896-2873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4988
MA
225100000X
Physical Therapist
PT12163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
626564
HARVARD PILGRIM
MA
Enumeration date
02/06/2007
Last updated
07/08/2007
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