Individual
MRS. BETHANY C NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
928 OLD SMITHVILLE RD, MCMINNVILLE, TN 37110-6805
(931) 473-8431
Mailing address
20 GRACE HAVEN COURT, HILLSBORO, TN 37342
(901) 237-4937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2002
TN
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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