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NPI Code Detail

MEDICARE: BETHANY SHAE GALBRAITH OTR/L

MEDICARE: BETHANY SHAE GALBRAITH OTR/L
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
1225X00000XOccupational TherapistAZ

General Provider Information

NPI Number : 1780195248
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY SHAE GALBRAITH OTR/L
Provider Business Mailing Address
First Line : 7510 E THOMAS RD UNIT 328
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7919
Country : US
Telephone Number : 334-315-0121
Fax Number :
Provider Business Practice Location Address
First Line : 9155 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-2410
Country : US
Telephone Number : 602-218-9483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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