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1275296709
BETHANY TACKETT
ROUND ROCK, TX
NPI
1275296709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 122054)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
-- BETHANY TACKETT MOT, OTR/L
3000 JOE DIMAGGIO BLVD STE 56
ROUND ROCK, TX 78665-3996
Phone number: 512-218-6955
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Mailing Address
-- BETHANY TACKETT MOT, OTR/L
10430 MORADO CIR APT 2012
AUSTIN, TX 78759-5669
Phone number: 785-302-0658
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