Bethany Deason, OTRL, M.H.S.

Individual provider Active NPI Occupational Therapist · Warm Springs, GA

NPI 1053514745 · NPPES record last updated Apr 10, 2018

Key facts

NPI
1053514745
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT004401 (GA)
Practice address
Roosevelt Warm Springs Institute for Rehabilitation
6135 Roosevelt Hwy
Warm Springs, GA 31830-1000
Phone
(706) 655-5636
Fax
(706) 655-5661
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT004401GAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004401 GA Yes

Addresses

Primary practice location

Roosevelt Warm Springs Institute for Rehabilitation
6135 Roosevelt Hwy
Warm Springs, GA 31830-1000

Mailing address

364 Northridge Dr
Senoia, GA 30276-1936

Other providers in Warm Springs, GA

All providers in Warm Springs, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.