Individual
LAURA H BEAUCHESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15 DAIGLE LN STE 101, SANFORD, ME 04073-4173
(207) 324-3745
Mailing address
PO BOX 15, SPRINGVALE, ME 04083-0015
(207) 324-3745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT882
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041334
ANTHEM
ME
Enumeration date
06/21/2006
Last updated
11/30/2007
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