| NPI | 1568626885 |
|---|---|
| Former Name | CHARLOTTE MARIE BEAUCHAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2008019279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010079) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT010079) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2017-10-24 |