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Individual

BEAU SINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
10000 W 75TH ST, ST #250, OVERLAND PARK, KS 66204-2209
(913) 894-1910
Mailing address
3655 156TH R AVE SE, PO BOX, CASSELTON, ND 58012
(701) 212-8318

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012514
GA

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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