Most Relevant Information
Provider Data
| NPI Number: | 1003442856 |
| Provider Name: | MICHELLE MARY BEAULIEU |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2020 |
| Last Updated: | 03/12/2020 |
Provider Practice Location
821 DANIEL SHAYS HWY
ATHOL
MA
013316903
Practice Location Phone/Fax
| Phone: | 9782493717 |
| Fax: |
Provider Mailing Location
2701 CHESTNUT STATION CT
LOUISVILLE
KY
402996395
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |