Individual
RICARDO BEAUBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
500 SE INDIAN ST, STUART, FL 34997-5533
(772) 403-0573
Mailing address
926 SW WHITTIER TER, PORT SAINT LUCIE, FL 34953-2323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30205
FL
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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