Individual
BETHANY PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
134 THURBERS AVE # 220A, PROVIDENCE, RI 02905-4754
(401) 270-9991
Mailing address
134 THURBERS AVE # 220A, PROVIDENCE, RI 02905-4754
(401) 270-9991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT01359
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT01359
OTR/L
RI
Enumeration date
02/28/2014
Last updated
02/28/2014
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