Individual
BETH JEAN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1637
(858) 694-4927
Mailing address
2715 AZALEA DR, SAN DIEGO, CA 92106-1132
(619) 222-6262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1551
CA
Other
Enumeration date
06/21/2007
Last updated
10/01/2021
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