Individual
MARY BETH ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 523-8130
Mailing address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 523-8130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10641138
OR
Other
Enumeration date
10/21/2008
Last updated
02/22/2013
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