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Individual

MR. MICHAEL D BEEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3233 W CHARLESTON BLVD STE 107, LAS VEGAS, NV 89102-1923
(702) 258-9381
(702) 258-9584
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6803
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
938962
AZ
Enumeration date
06/14/2005
Last updated
04/15/2021
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