Individual
TIMOTHY BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
300 HOSPITAL DR., DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER, FT. GORDON, GA 30905
(706) 787-9042
(706) 787-0105
Mailing address
5209 WINDMILL CT, EVANS, GA 30809-6667
(706) 651-1146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002148
GA
Other
Enumeration date
10/31/2005
Last updated
09/24/2013
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