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Individual

FREDERICK SANCHEZE BEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8110 CAMP CREEK RD STE 106, OLIVE BRANCH, MS 38654-1622
(662) 893-1933
(662) 893-1934
Mailing address
85 MARKET CENTER DR, COLLIERVILLE, TN 38017-6913
(901) 861-9970
(901) 861-9971

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14003
TN
225100000X
Physical Therapist
Primary
CP003037T
MS

Other

Enumeration date
11/22/2021
Last updated
11/02/2022
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