Individual
BETHANY HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 LIONS CLUB RD, MADISON, GA 30650-4762
(706) 342-1667
Mailing address
1590 CALLS CREEK CIR, WATKINSVILLE, GA 30677-2575
(404) 395-2864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006262
GA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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