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 |