Individual
REBECCA A BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1630 MARKET CENTER BLVD, O FALLON, MO 63368-8407
(362) 638-2486
Mailing address
1630 MARKET CENTER BLVD STE 202, O FALLON, MO 63368-8407
(636) 244-8248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111962
MO
Other
Enumeration date
12/09/2009
Last updated
09/19/2023
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