Healthcare Provider Details

I. General information

NPI: 1730139965
Provider Name (Legal Business Name): ARMAND BEDARD PT
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 STATE RD
CUYAHOGA FALLS OH
44223-3614
US

IV. Provider business mailing address

23825 COMMERCE PARK STE B
BEACHWOOD OH
44122-5837
US

V. Phone/Fax

Practice location:
  • Phone: 330-945-9590
  • Fax: 330-945-6650
Mailing address:
  • Phone: 216-292-6363
  • Fax: 216-292-6306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT007831
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: