MEDICARE: DR. TERESITA SAPANHILA BELTRAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283XC2000X	Children's Rehabilitation Hospital	D0018270	MD

General Provider Information

NPI Number	:	1720149305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESITA SAPANHILA BELTRAN M.D.

Provider Business Mailing Address
First Line	:	9014 ELMONTE WOODS WAY
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1854
Country	:	US
Telephone Number	:	410-750-0352
Fax Number	:

Provider Business Practice Location Address
First Line	:	9014 ELMONTE WOODS WAY
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1854
Country	:	US
Telephone Number	:	410-750-0352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/08/2007

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