Individual
MR. BRIAN L BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, OCS,CMTPT
Contact information
Practice address
2004 SANDBRIDGE RD STE 102, VIRGINIA BEACH, VA 23456-4084
(757) 301-6419
(757) 301-6419
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202244
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010097215
—
VA
01
—
192967
BCBS PHYSICAL THERAPY
VA
01
—
7445089
AETNA
—
01
—
P00140444
RAILROAD MEDICARE
VA
Enumeration date
04/13/2006
Last updated
04/12/2018
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