Stephanie Laine Beauregard
Physical Therapist - Neurology
9300 Dewitt Loop
FtBelvoir
, Virginia 22060-3231
Stephanie Laine Beauregard
Physical Therapist - Neurology
9300 Dewitt Loop
FtBelvoir
, Virginia 22060-3231
(832) 385-4304
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Stephanie Laine Beauregard
- 10533 Greene Dr
- Lorton, VA
- Zip : 22079-3540
- Phone : (832) 385-4304
Second Address
- Stephanie Laine Beauregard
- 9300 Dewitt Loop
- Ft. Belvoir, VA
- Zip : 22060-3231
- Phone : (703) 806-4244
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 2305204251 | VA |
National Provider Identifier
| NPI | 1760688097 |
|---|---|
| Provider Name | Stephanie Laine Beauregard |
| First Address | Lorton, VA 22079-3540 |
| Second Address | Ft. Belvoir, VA 22060-3231 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2007 |
| Last Update Date | 21/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.