Individual
BEAU A. GUIDROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
54 S PRESCOTT ST, MEMPHIS, TN 38111-4619
(901) 257-3422
(901) 257-3423
Mailing address
617 CAMPBELL DR, MARION, AR 72364-8015
(318) 613-4933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000008450
TN
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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