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Individual

MR. DENIS D BEAULIEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
17520 MERIDIAN E, SUITE F, PUYALLUP, WA 98375-6265
(253) 864-7595
(253) 864-0457
Mailing address
9315 GRAVELLY LAKE DR SW, SUITE 306, LAKEWOOD, WA 98499-1574
(253) 581-5200
(253) 581-5203

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006407
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8415648
WA
Enumeration date
06/21/2006
Last updated
11/09/2010
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