Individual
LEAH S BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 272-7494
Mailing address
101 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 272-7494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001211
GA
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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