Provider Demographics
NPI:1174108823
Name:BEIER, BETHANY (OTR/L)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:BEIER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4443 N JOSEY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4677
Mailing Address - Country:US
Mailing Address - Phone:972-394-8900
Mailing Address - Fax:972-769-5752
Practice Address - Street 1:4443 N JOSEY LN STE 100
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4677
Practice Address - Country:US
Practice Address - Phone:972-394-8900
Practice Address - Fax:972-769-5752
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121637225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist