MR. Martin Edward Beaulac, PHYSICAL THERAPIST

NPI #1063563450 in Washington, Michigan

Provider Information

NPI Number: 1063563450
Entity Type: Individual
Name: MR. Martin Edward Beaulac, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Jan 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 61251 N RIDGE TRL
City: Washington
State: Michigan
ZIP Code: 48094-1126
Phone: (248) 652-8264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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