| NPI | 1235333071 |
|---|---|
| Former Name | ANDREA R BEAUCHAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03704) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2007022727) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-07-22 |