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NPI Code Detail

MEDICARE: JEAN PHILIPPE BEAUVOIS PT

MEDICARE:   JEAN PHILIPPE  BEAUVOIS  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist14597CA

General Provider Information

NPI Number : 1528242740
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN PHILIPPE BEAUVOIS PT
Provider Business Mailing Address
First Line : 500 W. GLENOAKS BLVD.
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2813
Country : US
Telephone Number : 818-637-2127
Fax Number : 818-637-2126
Provider Business Practice Location Address
First Line : 500 W. GLENOAKS BLVD.
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2813
Country : US
Telephone Number : 818-637-2127
Fax Number : 818-637-2126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2007
Last Update Date : 12/24/2007

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Directions to “ JEAN PHILIPPE BEAUVOIS PT” Practice Location

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