Individual
MRS. BETHANY LYNN DIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT,OTR
Contact information
Practice address
5313 DECKER DRIVE, BAYTOWN, TX 77520
(281) 838-4477
(281) 838-4480
Mailing address
4601 HONEY CREEK CT, PEARLAND, TX 77584-1285
(281) 997-2350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111777
TX
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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