Provider Demographics
NPI:1982821161
Name:BELAIR, BRIAN B (PT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:B
Last Name:BELAIR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-4423
Mailing Address - Country:US
Mailing Address - Phone:603-228-0015
Mailing Address - Fax:
Practice Address - Street 1:264 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2551
Practice Address - Country:US
Practice Address - Phone:603-228-4610
Practice Address - Fax:603-228-7264
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1258225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist