Organization
BETHANY O MACDONALD LLC
Active
Other names
BETHANY O MACDONALD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY O MACDONALD OTR/L (OWNER)
(813) 375-1591
Entity
Organization
Contact information
Practice address
21535 SOUTHERN CHARM DR, LAND O LAKES, FL 34637-7629
(813) 375-1591
Mailing address
21535 SOUTHERN CHARM DR, LAND O LAKES, FL 34637-7629
(813) 375-1591
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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