MEDICARE: CHRISTINA BELLEFEUILLE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	8750	MA

General Provider Information

NPI Number	:	1144986654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA BELLEFEUILLE PT

Provider Business Mailing Address
First Line	:	7 HARRINGTON DR
Second Line	:
City	:	MERRIMACK
State	:	NH
Zip	:	03054-2923
Country	:	US
Telephone Number	:	603-262-5355
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 TECHNOLOGY DR
Second Line	:
City	:	NORTH CHELMSFORD
State	:	MA
Zip	:	01863-2438
Country	:	US
Telephone Number	:	978-458-0099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2021
Last Update Date	:	11/10/2021

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Directions to “ CHRISTINA BELLEFEUILLE PT” Practice Location

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