Individual
KELLY BETTES
Active
Individual
KELLY BETTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
106559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106559
LICENSE #
TX
Enumeration date
08/20/2006
Last updated
06/06/2014
Update your record
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