Provider Demographics
NPI:1427344001
Name:BELTRAN, CAMMY (OTR/L)
Entity type:Individual
Prefix:
First Name:CAMMY
Middle Name:
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6335 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-5201
Mailing Address - Country:US
Mailing Address - Phone:510-381-1146
Mailing Address - Fax:
Practice Address - Street 1:6335 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94552-5201
Practice Address - Country:US
Practice Address - Phone:510-381-1146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11846225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist