Doctor Name: | MS. DIANE BEAUDOIN |
NPI Number: | 1003884214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | PT761 |
Business Practice Address: | 12 Heselton St Skowhegan, ME - 04976 |
Business Phone Number: | 2074746622 |
Business Fax Number: | 2074746983 |
Mailing Address: | 12 Heselton St, SKOWHEGAN |
State: | ME |
Postal Code: | 04976 |
Phone Number: | 2074746622 |
Fax Number: | 2074746983 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 11/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |