Henderson, Bethany P

Henderson, Bethany P is an individual health care provider with primary practice located at 4900 Ivey Rd Nw Ste 1720 , Acworth GA 30101-4101. 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. Henderson, Bethany P can be contacted via phone (334) 796-2414.

Contact Information

Primary practice address
4900 Ivey Rd Nw Ste 1720 Acworth GA 30101-4101
Phone: (334) 796-2414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 120817 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT008314 Georgia

Profile Details

NPI number 1528697158
LBN Legal business name Henderson, Bethany P
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated Jan 17th, 2022 - about 4 years ago

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.

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