William Shaun Beaudreau, DPT
Physical Therapist in Mandeville, LA. Individual provider (NPI-1).
NPI number1043540586
StatusActive
Last updated in NPPESFeb 14, 2022
Details
- NPI
- 1043540586
- Entity type
- Individual (NPI-1)
- Name
- William Shaun Beaudreau
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2010
- Certification date
- Feb 14, 2022
- Last updated
- Feb 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 08178R | LA | Yes |
| 225100000X | Physical Therapist | PT012728 | OH |
Practice location
5404 La-22Suite 200
Mandeville, LA 70471
Phone 504-356-2551
Mailing address
5404 La-22Ste 200
Mandeville, LA 70471
Phone 985-272-1017 · Fax 985-272-1016
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All 45 Physical Therapist providers in Mandeville · All 1,574 providers in Mandeville
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