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General NPI Number Information
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NPI Number | 1568579837
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Entity Type | Individual
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Provider Name | BETH ALLYSON ENGEL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 4565 RELIANT RD
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City | JAMESVILLE
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State | NY
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Zip | 13078-8511
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Country | US
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Telephone | 315-254-7891
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Fax |
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Provider Business Mailing Address
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Address Line | 4565 RELIANT RD
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City | JAMESVILLE
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State | NY
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Zip | 13078-8511
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Country | US
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Telephone | 315-254-7891
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056007500
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 012798-1
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License Number State | NY
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