Individual
BETHANY KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 ORCHARD RD, BARBOURSVILLE, WV 25504-2133
(304) 654-9122
Mailing address
112 ORCHARD RD, BARBOURSVILLE, WV 25504-2133
(304) 654-9122
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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