Organization
BODY IN BALANCE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA HODSON BEAUCHESNE DPT (PHYSICAL THERAPIST)
(207) 324-3745
Entity
Organization
Contact information
Practice address
21 BRADEEN STREET SUITE 304, SPRINGVALE, ME 04083
(207) 324-3745
(207) 324-3745
Mailing address
PO BOX 15, SPRINGVALE, ME 04083-0015
(207) 324-3745
(207) 324-3745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT882
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041334
ANTHEM BC/BS
ME
01
—
650023920
RR MEDICARE
ME
Enumeration date
11/30/2007
Last updated
05/20/2024
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