Individual
BETHANN M MONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
220 N KELLER AVENE, AMERY, WI 54001
(715) 268-1001
Mailing address
225 SCHOLL CT, AMERY, WI 54001-1261
(715) 268-8000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1234
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
WI
Enumeration date
07/27/2007
Last updated
07/27/2007
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