Most Relevant Information
Provider Data
| NPI Number: | 1003539909 |
| Provider Name: | BETHANY COPELAND OTD |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 7347 |
Most Important Dates
| Enumeration Date: | 09/26/2022 |
| Last Updated: | 09/26/2022 |
Provider Practice Location
306 W BROAD ST STE B
LIVINGSTON
TN
385701804
Practice Location Phone/Fax
| Phone: | 9318236136 |
| Fax: | 9318236138 |
Provider Mailing Location
306 W BROAD ST STE B
LIVINGSTON
TN
385701804
Provider Mailing Phone/Fax
| Phone: | 9318236136 |
| Fax: | 9318236138 |