Individual provider · NPI-1

Christian Matthew Beall

Rehabilitation Practitioner · Roseville, CA

NPI number1790441012
StatusActive
Last updated in NPPESApr 17, 2025

Details

NPI
1790441012
Entity type
Individual (NPI-1)
Name
Mr. Christian Matthew Beall
Sex
Male
Sole proprietor
No
Enumeration date
Nov 10, 2021
Certification date
Apr 17, 2025
Last updated
Apr 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

406 Sunrise Ave Ste 300
Roseville, CA 95661-4144

Phone 530-470-2409

Mailing address

406 Sunrise Ave Ste 300
Roseville, CA 95661-4144

Phone 530-470-2409

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