Individual
MR. BRIAN L BEAULIEU
Active
Individual
MR. BRIAN L BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, OCS,CMTPT
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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