Individual
BETHANY DANIELLE BILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2665
(813) 453-8179
Mailing address
14917 PROMENADE PKWY, ODESSA, FL 33556-2773
(361) 446-5901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA30602
PTA LICENSE
FL
Enumeration date
12/15/2021
Last updated
08/29/2025
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