Provider Demographics
NPI:1144856832
Name:BELTRAN, ARACELI (PT, DPT)
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 PEDLEY RD SPC 154
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-2830
Mailing Address - Country:US
Mailing Address - Phone:951-836-6543
Mailing Address - Fax:
Practice Address - Street 1:11640 US HIGHWAY 87 N
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:TX
Practice Address - Zip Code:76934-7000
Practice Address - Country:US
Practice Address - Phone:325-465-4391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA297395225100000X
WAPT60939835225100000X
TX1319706225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist