Bethany Dawn Coppock COTA

NPI 1063634699 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1063634699
Gender Female
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4725 COLONIAL OAKS DRIVE
MARION IN, 46953, US
Phone (765) 674-9791
Fax
Business Location
802 S BARCLAY ST
FAIRMOUNT IN, 46928, US
Phone (765) 251-1531
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Indiana
License Number 32001358A
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According to our database, Bethany Dawn Coppock COTA NPI is 1063634699, taxonomy code is 224Z00000X and license number is 32001358A, license state is located at Indiana. Bethany Dawn Coppock COTA physically located at 4725 Colonial Oaks Drive, Marion IN, 46953. NPI Number Bethany Dawn Coppock COTA has the Individual type.

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1063634699 NPI number is provided on an as is basis without warranty of any kind. 1063634699 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany Dawn Coppock COTA are for informational purposes only.