Individual
BETH BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2300 GREAT LAKES DR, DYER, IN 46311-1917
(219) 388-3555
Mailing address
14701 EUCLID ST, CEDAR LAKE, IN 46303-7211
(219) 390-7189
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000816A
IN
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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