Individual
MRS. BETH BROCKMAN BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1827 W ADDISON ST # 2, CHICAGO, IL 60613-3502
(773) 960-3107
Mailing address
1827 W ADDISON ST # 2, CHICAGO, IL 60613-3502
(773) 960-3107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007591
IL
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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