Individual
CHRISTOPHER WILLIAM BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1817 ROSE ST, BERKELEY, CA 94703-1117
(411) 960-2723
Mailing address
1817 ROSE ST, BERKELEY, CA 94703-1117
(411) 960-2723
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 12019
CA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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