Individual
DR. JUSTIN BEAUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(207) 590-3480
Mailing address
1370 W MOUNTAIN LAKE DR, BEAR CREEK TOWNSHIP, PA 18702-8272
(207) 590-3480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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