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Individual
DR. BETHANY NICOLE LIGHT
Active
Individual
DR. BETHANY NICOLE LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12660
SC
225100000X
Physical Therapist
CP026561T
TX
225100000X
Physical Therapist
CP031858T
ND
225100000X
Physical Therapist
PT5020
AR
Other
Enumeration date
07/09/2024
Last updated
01/03/2025
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