Individual
MRS. BETHANY MONIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
68 DEAN ST, TAUNTON, MA 02780-2713
(508) 824-1467
Mailing address
42 BROWNELL RD, LITTLE COMPTON, RI 02837-1501
(401) 742-9745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
224Z00000X
Occupational Therapy Assistant
Primary
4317
MA
Other
Enumeration date
08/15/2013
Last updated
04/25/2018
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