Healthcare Provider Details

I. General information

NPI: 1811138043
Provider Name (Legal Business Name): NATALIE JEAN BEGGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 SHAFFER RD
ATWATER CA
95301-4456
US

IV. Provider business mailing address

1685 SHAFFER RD
ATWATER CA
95301-4456
US

V. Phone/Fax

Practice location:
  • Phone: 209-357-0904
  • Fax:
Mailing address:
  • Phone: 209-357-0904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT35525
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: