Individual
BETHANY JANECE CABELL
Active
Individual
BETHANY JANECE CABELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1145555
TX
225100000X
Physical Therapist
550105740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C90457
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/05/2007
Last updated
07/21/2022
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