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Individual
DR. MARYBETH GRANT-BEUTTLER
Active
Individual
DR. MARYBETH GRANT-BEUTTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33373
CA
2251N0400X
Neurology Physical Therapist
33373
CA
2251P0200X
Pediatric Physical Therapist
33373
CA
225400000X
Rehabilitation Practitioner
33373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163623
MEDPLUS
PA
01
—
3742484
AETNA HMO
PW
01
—
7780635
AETNA PPO
PA
01
—
819328
FIRST PRIORITY/BC/BS
PA
01
—
9384434
PHCS
PA
01
—
BE1698593
HIGHMARK
PA
Enumeration date
12/01/2005
Last updated
10/12/2007
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