| Doctor Name: | LAUREN BEELER |
| NPI Number: | 1740487917 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, PCS |
| License Number: | CA#PT11759 |
| Business Practice Address: | 28715 Vista Santiago Rd Trabuco Canyon, CA - 926791105 |
| Business Phone Number: | 9495891405 |
| Business Fax Number: | 9497093360 |
| Mailing Address: | 28715 Vista Santiago Road, TRABUCO CANYON |
| State: | CA |
| Postal Code: | 926791105 |
| Phone Number: | 9495891405 |
| Fax Number: | 9497093360 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | CA#PT11759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |