Individual
BETHANY LAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 454-5340
Mailing address
7552 N 750 W, ROANN, IN 46974-9454
(260) 571-9656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006838A
IN
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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