Individual
BETHANN MARIE POPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 STONEY RIDGE RD, AVON, OH 44011-1821
(440) 934-5124
Mailing address
4990 HAWTHORNE AVE, SHEFFIELD LAKE, OH 44054-1680
(216) 315-4270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT010078
—
OH
Enumeration date
03/14/2018
Last updated
03/14/2018
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