# BETH ANN GIST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174631618
- **Gender:** F
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 109053 | TX | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BCBS | 8T6191 | TX |