Individual
MRS. BETH MARIE MITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
200 MEMORIAL DR, LULING, TX 78648-3213
(830) 875-8457
Mailing address
200 MEMORIAL DR, LULING, TX 78648-3213
(830) 875-8457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208469
TX
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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