Individual
MONTE C BEARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Mailing address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2292
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502784
—
NV
Enumeration date
07/30/2006
Last updated
10/02/2013
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