Individual
BETHANY KAY BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19130 SUNNY ACRES RD, PETERSBURG, IL 62675-7306
(217) 632-2334
Mailing address
2038 DIAL CT, SPRINGFIELD, IL 62704-3508
(217) 801-7199
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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