| NPI Details | |
|---|---|
| NPI | 1740594514 |
| Gender | Female |
| Enumeration Date | 08/03/2010 |
| Last Updated | 08/03/2010 |
| Entity Type | Individual |
| Active | Over 6 years ago |
| Practice Location | |
|---|---|
| 41 WEST ST FAIRFIELD ME, 04937-1311, US |
|
| Phone | (207) 453-4200 |
| Fax | |
| Business Location | |
|---|---|
| 160 SILVER ST WATERVILLE ME, 04901-5812, US |
|
| Phone | (207) 680-8678 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 224Z00000X |
| License State | Maine |
| License Number | OA597 |
| Remove 1740594514 NPI Number | |
According to our database, Kathy Beaulieu OTA/L NPI is 1740594514, taxonomy code is 224Z00000X and license number is OA597, license state is located at Maine. Kathy Beaulieu OTA/L physically located at 41 West St, Fairfield ME, 04937-1311. NPI Number Kathy Beaulieu OTA/L has the Individual type.
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1740594514 NPI number is provided on an as is basis without warranty of any kind. 1740594514 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Beaulieu OTA/L are for informational purposes only.
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