Individual
MELISSA BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
490 HIGHWAY 96 W, SUITE 300, SHOREVIEW, MN 55126-1960
(651) 451-3016
Mailing address
686 ARLINGTON AVE W, SAINT PAUL, MN 55117-4154
(651) 489-0044
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102868
MN
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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