Individual
MRS. BETH ANN KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1751 N LITCHFIELD RD, APT 1144, GOODYEAR, AZ 85395-2259
(317) 908-0202
Mailing address
442 N 10TH AVE, BEECH GROVE, IN 46107-1102
(317) 908-0202
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4369
AZ
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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