Individual
BETHANY MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5222 S PURITAN AVE, TAMPA, FL 33611-4016
(813) 375-1591
Mailing address
5222 S PURITAN AVE, TAMPA, FL 33611-4016
(813) 375-1591
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT15072
FL
251E00000X
Home Health Agency
Primary
OT15072
FL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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