Individual
JULIA NICOLE BEAUSOLEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6640 JOHNSON DR, MISSION, KS 66202-2617
(913) 384-5810
(913) 384-0719
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05539
KS
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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