Most Relevant Information
Provider Data
| NPI Number: | 1003312695 |
| Provider Name: | BETHANY CRYSTAL SKINNER MAOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 105556 |
Most Important Dates
| Enumeration Date: | 04/02/2018 |
| Last Updated: | 04/02/2018 |
Provider Practice Location
1801 HIGHWAY 25 N
BUFFALO
MN
553131934
Practice Location Phone/Fax
| Phone: | 7636824336 |
| Fax: |
Provider Mailing Location
1498 FOX MEADOW DR
DELANO
MN
553289043
Provider Mailing Phone/Fax
| Phone: | 6124012142 |
| Fax: |