Individual
BETHANY AIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
169 HIGHWAY 6 E, SUITE 102, OXFORD, MS 38655-9415
(662) 380-5030
(662) 380-5620
Mailing address
124 OXMOOR RDG, OXFORD, MS 38655-6033
(919) 619-4369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3186
MS
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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