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Individual

BETHANNE VIDMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
1857 KNOLL DRIVE, VENTURA, CA 93003
(805) 667-8200
(805) 667-8201
Mailing address
1857 KNOLL DRIVE, VENTURA, CA 93003
(805) 667-8200
(805) 667-8201

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21230
CA

Other

Enumeration date
10/14/2020
Last updated
10/14/2020
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