Individual
MRS. DANIELA LISEL BEAUVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6050 ROBERTA RD, HARRISBURG, NC 28075-8578
(704) 241-1014
(980) 258-8338
Mailing address
6050 ROBERTA RD, HARRISBURG, NC 28075
(704) 241-1014
(980) 258-8338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9759
NC
225100000X
Physical Therapist
Primary
9759 NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212019
—
NC
Enumeration date
03/27/2007
Last updated
08/08/2025
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