Carroll, Bethany Marie
Carroll, Bethany Marie is an sole proprietor health care provider with primary practice located at 3455 153Rd St W , Rosemount MN 55068-4946. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Carroll, Bethany Marie can be contacted via phone (651) 423-7700.Contact Information
Primary practice address
3455 153Rd St W
Rosemount MN 55068-4946
Phone: (651) 423-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 104313 | Minnesota |
Profile Details
| NPI number | 1609128727 |
|---|---|
| LBN Legal business name | Carroll, Bethany Marie |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2012 |
| Last updated | Sep 16th, 2026 - about last week |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609128727 | NPPES |
| Other | 302015 | NBCOT | |
| Other | 104313 | NBCOT |
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