Individual
COLLEEN P BEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
(858) 642-1448
Mailing address
4784 1/2 OLD CLIFFS RD, SAN DIEGO, CA 92120-1135
(858) 642-3103
(858) 642-1448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 19861
CA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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