Individual
BETH IRENE HENTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-0682
Mailing address
6840 W OLD ROAD 64, HUNTINGBURG, IN 47542-9767
(812) 630-1920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002895A
IN
Other
Enumeration date
11/22/2019
Last updated
04/05/2022
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