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Individual

CHRISTINA L BEAULIEU BIELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
170 N HENDERSON RD, SUITE 300, KING OF PRUSSIA, PA 19406-2155
(610) 755-3088
(610) 755-3111
Mailing address
833 CHESTNUT ST, STE 1402, PHILADELPHIA, PA 19107-4404
(800) 321-9999
(267) 339-3761

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002277
DE
225100000X
Physical Therapist
Primary
PT019190
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J10002277
DE LICENSE
DE
01
PT019190
PA LICENSE
PA
Enumeration date
10/31/2007
Last updated
04/21/2016
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