Bethany Moore OT

NPI 1215208038 - Occupational Therapist - 225X00000X

NPI Details
NPI 1215208038
Gender Female
Enumeration Date 01/25/2012
Last Updated 01/25/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2628 N FRASER ST
GEORGETOWN SC, 29440-6946, US
Phone (843) 520-0319
Fax (843) 545-5267
Business Location
2222 SULLIVAN TRL
EASTON PA, 18040-7958, US
Phone (610) 991-2034
Fax (610) 438-2046
Toxanomy
Taxonomy Code 225X00000X
License State South Carolina
License Number 2553
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According to our database, Bethany Moore OT NPI is 1215208038, taxonomy code is 225X00000X and license number is 2553, license state is located at South Carolina. Bethany Moore OT physically located at 2628 N Fraser St, Georgetown SC, 29440-6946. NPI Number Bethany Moore OT has the Individual type.

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1215208038 NPI number is provided on an as is basis without warranty of any kind. 1215208038 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany Moore OT are for informational purposes only.