Individual
BETHANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2705 SE G STREET, SUITE 1, BENTONVILLE, AR 72712
(479) 273-2345
(479) 273-9391
Mailing address
P.O. BOX 585, PEA RIDGE, AR 72751
(479) 273-2345
(479) 273-2345
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA462
AR
Other
Enumeration date
05/01/2007
Last updated
07/09/2007
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