Individual
KAREN BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
248 STATE ST, BREWER, ME 04412-1519
(207) 989-2034
(207) 989-5971
Mailing address
248 STATE ST, BREWER, ME 04412-1519
(207) 989-2034
(207) 989-5971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT636
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432293699
—
ME
Enumeration date
07/07/2008
Last updated
07/07/2008
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