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Contact Information

TIMOTHY BEAULIEU, OTR
300 HOSPITAL DR.
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA30905
 Phone: 706-787-9042
 Fax: 706-787-0105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY BEAULIEU · (Male)

NPI # 1407847411
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 10/31/2005
Last updated 09/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • GA License # OT002148
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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