Individual
TIMOTHY P BEAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA,AT
Contact information
Practice address
374 MAIN ST, NORWAY, ME 04268-5925
(207) 743-5493
(207) 743-5563
Mailing address
374 MAIN ST, NORWAY, ME 04268-5925
(207) 743-5493
(207) 743-5563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA74000858
ME
2255A2300X
Athletic Trainer
AT270
ME
Other
Enumeration date
12/28/2006
Last updated
12/11/2007
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