Individual
BETHANY M KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
715 E RAYMOND RD, WATSEKA, IL 60970-9730
(815) 432-5476
Mailing address
2280 E STATE ROUTE 9, PAXTON, IL 60957-4100
(217) 781-2031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005472
IL
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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