Individual
MRS. BETHANN FABUGAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1200 ROOSEVELT PL UNIT A, VALPARAISO, IN 46383-3707
(219) 548-4663
Mailing address
2507 ESTERO PKWY, VALPARAISO, IN 46383-3877
(219) 776-1008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003938A
IN
Other
Enumeration date
05/20/2015
Last updated
11/11/2020
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