Individual
BETHANY CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 872-5811
(620) 872-7193
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 874-4848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-02752
KS
225X00000X
Occupational Therapist
Primary
1702752
KS
Other
Enumeration date
12/27/2012
Last updated
02/02/2026
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