Individual
MRS. KELLY SUE BEAUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
23175 COMMERCE PARK, BEACHWOOD, OH 44122-5806
(440) 449-3400
(440) 449-3402
Mailing address
23175 COMMERCE PARK, BEACHWOOD, OH 44122-5806
(440) 449-3400
(440) 449-3402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10464
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2471409
—
OH
Enumeration date
08/19/2006
Last updated
03/27/2019
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