Individual
DIANE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
826 CARMEL AVE, LOS ALTOS, CA 94022-1101
(408) 832-5312
Mailing address
826 CARMEL AVE, LOS ALTOS, CA 94022-1101
(408) 832-5312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CA
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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