Individual
KATHY BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
41 WEST ST, FAIRFIELD, ME 04937-1311
(207) 453-4200
Mailing address
160 SILVER ST, WATERVILLE, ME 04901-5812
(207) 680-8678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA597
ME
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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