Individual
BETHANY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 N DIVISION AVE STE 102, SANDPOINT, ID 83864-5054
(208) 255-7337
Mailing address
1218 N DIVISION AVE STE 102, SANDPOINT, ID 83864-5054
(208) 255-7337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1341
ID
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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