Individual
LINDA M BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17 NEW SOUTH ST - SULLIVAN SQ, NORTHAMPTON, MA 01060
(413) 582-0005
(413) 582-7979
Mailing address
193 OVERLOOK DR, NORTHAMPTON, MA 01062-3528
(413) 582-0005
(413) 582-7979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6286
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387126
—
MA
01
—
Y65760
BC/BS
MA
Enumeration date
10/11/2006
Last updated
07/08/2007
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