MEDICARE: BETSY SEARS OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	110018	TX

General Provider Information

NPI Number	:	1629619309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETSY SEARS OTR

Provider Business Mailing Address
First Line	:	7506 OLIVIA LN
Second Line	:
City	:	SACHSE
State	:	TX
Zip	:	75048-6402
Country	:	US
Telephone Number	:	217-714-7675
Fax Number	:

Provider Business Practice Location Address
First Line	:	7217 TELECOM PKWY FL 2
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2202
Country	:	US
Telephone Number	:	972-495-6986
Fax Number	:	972-495-8576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	10/03/2019

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Directions to “ BETSY SEARS OTR” Practice Location

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