Individual
BETHANY ZYLSTRA COLEMAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123-4223
(858) 966-8100
Mailing address
3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123-4223
(588) 966-8100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60329439
WA
Other
Enumeration date
03/21/2013
Last updated
06/29/2022
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