Basic Information
| Provider Information | |||||||||
| NPI: | 1619211711 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANCHEZ | ||||||||
| FirstName: | BEATRICE | ||||||||
| MiddleName: | MARITZA | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1233 APPLE AVENUE | ||||||||
| Address2: | |||||||||
| City: | GREENFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7602423963 | ||||||||
| FaxNumber: | 7602421006 | ||||||||
| Practice Location | |||||||||
| Address1: | 1758 NORTH MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8314423700 | ||||||||
| FaxNumber: | 8314423711 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2012 | ||||||||
| LastUpdateDate: | 11/15/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 39550 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.