| NPI | 1063758746 |
|---|---|
| Former Name | BETHANY BECKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1702752) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-02752) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2018-01-23 |