Individual
MRS. BETHANY MARIE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15576 COLUMBARY CT, ROSEMOUNT, MN 55068-4608
(952) 217-3325
Mailing address
15576 COLUMBARY CT, ROSEMOUNT, MN 55068-4608
(952) 217-3325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104313
LICENSE
MN
01
—
302015
NBCOT
—
Enumeration date
10/12/2012
Last updated
04/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us