Organization
ADVANCED PHYSICAL THERAPY
Active
Other names
MICHAEL BEAUDOIN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J BEAUDOIN DPT (PHYSICAL THERAPIST/OWNER)
(215) 742-8099
Entity
Organization
Contact information
Practice address
2127 RHAWN ST, PHILADELPHIA, PA 19152-3216
(215) 742-8099
(215) 742-1871
Mailing address
2127 RHAWN ST, PHILADELPHIA, PA 19152-3216
(215) 742-8099
(215) 742-1871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012778L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01726303
HIGHMARK BLUE SHIELD
PA
01
—
2395652000
INDEPENDENCE BLUE CROSS
PA
01
—
246902
HORIZON NJ PLUS
PA
01
—
30023534
KEYSTONE MERCY
PA
01
—
3985602
AETNA
—
Enumeration date
08/30/2006
Last updated
03/15/2016
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