Individual
MRS. FATIMA BETHANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4910 AIRPORT AVE STE D, ROSENBERG, TX 77471-5759
(281) 238-1800
(281) 238-1859
Mailing address
4910 AIRPORT AVE STE D, ROSENBERG, TX 77471-5759
(281) 238-1800
(281) 238-1859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201408
TX
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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