IndividualActive
Jodie Beauchamp
NPI 1336339001 · Pediatric Physical Therapist · Waterbury, CT
Provider details
- NPI number
- 1336339001
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3450 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1389 W Main St
Waterbury, CT 06708-3104
Phone: (203) 757-1474
Fax: (203) 757-1474
Approximate (ZIP-level) locationGet directions
Mailing address
1389 W Main St
Waterbury, CT 06708-3104
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2007-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.