Provider Demographics
NPI:1518396969
Name:BEDFORD II, WILLIAM (DPT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BEDFORD II
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BEREA COMMONS STE 10
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-2535
Mailing Address - Country:US
Mailing Address - Phone:440-973-4950
Mailing Address - Fax:440-973-4951
Practice Address - Street 1:2 BEREA COMMONS STE 10
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-2535
Practice Address - Country:US
Practice Address - Phone:440-973-4950
Practice Address - Fax:440-973-4951
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.014365225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist