Individual
ELIZABETH BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 LIBERTY ST, ROCKLAND, MA 02370-1355
(617) 548-6778
Mailing address
306 LIBERTY ST, ROCKLAND, MA 02370-1355
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8472
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0170
BCBS PROVIDER ID
MA
Enumeration date
02/07/2007
Last updated
06/28/2013
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