Individual
BETH HARNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 E WHITTIER AVE, FAIRBORN, OH 45324-5313
(937) 878-3961
Mailing address
306 E WHITTIER AVE, FAIRBORN, OH 45324-5313
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0540
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0540
OTPTAT
OH
01
—
1439070
ODE
OH
Enumeration date
05/15/2014
Last updated
05/15/2014
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