Individual
MRS. BETHANY ALICE KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
2780 26TH AVE, OAKLAND, CA 94601-1911
(510) 536-1838
Mailing address
2728 PRINCE ST, BERKELEY, CA 94705-2613
(201) 819-5569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13484
CA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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