Provider Demographics
NPI:1205003654
Name:BEAULIER, BELINDA J (PT)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:J
Last Name:BEAULIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-9621
Mailing Address - Country:US
Mailing Address - Phone:207-989-7300
Mailing Address - Fax:
Practice Address - Street 1:743 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-9621
Practice Address - Country:US
Practice Address - Phone:207-989-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist