Individual
MRS. BETHANY SNOW
Active
Individual
MRS. BETHANY SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005076
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30658
BCBSM
MI
01
—
64-00940
PHP
MI
Enumeration date
09/25/2006
Last updated
05/16/2016
Update your record
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