Healthcare Provider Details

I. General information

NPI: 1205626538
Provider Name (Legal Business Name): REGINA BEALS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 LIBRARY ST
HUDSON NH
03051-4240
US

IV. Provider business mailing address

20 LIBRARY ST
HUDSON NH
03051-4240
US

V. Phone/Fax

Practice location:
  • Phone: 603-883-7765
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0710
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0710
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: