Individual
AVIS TAVA BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
230 E PRESNELL ST, ASHEBORO, NC 27203-4743
(336) 629-1447
(336) 629-1463
Mailing address
2159 N FAYETTEVILLE ST APT 6F, ASHEBORO, NC 27203-3277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004204
GA
225X00000X
Occupational Therapist
Primary
5992
NC
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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