Individual
BETHANY B. DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3815 BEAUVILLE CV, OCEAN SPRINGS, MS 39564-8583
(228) 872-9370
(228) 872-9370
Mailing address
3815 BEAUVILLE CV, OCEAN SPRINGS, MS 39564-8583
(228) 872-9370
(228) 872-9370
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120954
—
MS
Enumeration date
04/03/2007
Last updated
07/09/2007
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