Healthcare Provider Details

I. General information

NPI: 1407286065
Provider Name (Legal Business Name): REBECCA BELTRAN M.S. OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 S WAUKECHON ST
SHAWANO WI
54166-3643
US

IV. Provider business mailing address

627 COUNTY RD N
BIRNAMWOOD WI
54414-9257
US

V. Phone/Fax

Practice location:
  • Phone: 715-524-2134
  • Fax:
Mailing address:
  • Phone: 715-216-2246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7213-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: