Individual
MRS. BETHANY JANE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2006006004
MO
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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