Individual
MRS. BETHANY ANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
17216 VAN WAGONER RD, SPRING LAKE, MI 49456-8705
(616) 402-6997
Mailing address
992 N WEBER RD, MUSKEGON, MI 49445-8864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201014006
MI
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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