Individual
KAMLA BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
180 DICKENSON ST, SUITE 209, LAHAINA, HI 96761-1215
(808) 661-5264
(808) 661-5264
Mailing address
180 DICKENSON ST, SUITE 209, LAHAINA, HI 96761-1215
(808) 661-5264
(808) 661-5264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1055
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07014602
—
HI
Enumeration date
12/20/2006
Last updated
07/09/2007
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