Individual
MRS. DANA LYNN BETTENHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1001 N GRANT ST, LEBANON, IN 46052-1944
(765) 482-6400
(765) 483-5325
Mailing address
10483 SPLIT ROCK WAY, INDIANAPOLIS, IN 46234-3636
(317) 852-6646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002281A
IN
Other
Enumeration date
08/08/2008
Last updated
12/29/2008
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