Individual
BEAU CAVINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
550 FIELDSTOWN RD, GARDENDALE, AL 35071-2590
(205) 418-1482
(205) 608-5179
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AL
2251S0007X
Sports Physical Therapist
PTH11733
AL
Other
Enumeration date
02/27/2024
Last updated
04/03/2024
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