Stephen Thomas Beaudoin, CO Valid NPI
Individual provider · Prosthetic/Orthotic Supplier · Derry, NH
- NPI
- 1548401128
- Type
- Individual (Type 1)
- Primary specialty
- Prosthetic/Orthotic Supplier
- Specialty group
- Suppliers
- Taxonomy code
- 335E00000X
- License number
- CO2978
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-03-11
- Last updated
- 2009-03-11
Practice location
5l Richardson Dr
Derry, NH 03038-4920
(603) 216-1294