Individual
BETHANI ROSE ROMAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
316 GLEN AVE APT 303, SALISBURY, MD 21804-5127
(302) 344-1035
Mailing address
316 GLEN AVE APT 303, SALISBURY, MD 21804-5127
(302) 344-1035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02738
MD
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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