Individual
BETH A RISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8455 BROADWAY, MERRILLVILLE, IN 46410-6220
(219) 769-7211
(219) 769-7236
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005453A
IN
Other
Enumeration date
03/20/2013
Last updated
12/12/2014
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