Provider Demographics
NPI:1861736324
Name:BIELUNIS, PAMELA JEAN (PT,MHS/SM)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:JEAN
Last Name:BIELUNIS
Suffix:
Gender:F
Credentials:PT,MHS/SM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 GRANITE HILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:NH
Mailing Address - Zip Code:03470-4702
Mailing Address - Country:US
Mailing Address - Phone:603-239-6498
Mailing Address - Fax:
Practice Address - Street 1:50 GRANITE HILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:NH
Practice Address - Zip Code:03470-4702
Practice Address - Country:US
Practice Address - Phone:603-239-6498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH305225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist