Beth Marie Mitts, OTA/L
Individual provider Active NPI Occupational Therapy Assistant · Luling, TX
NPI 1992965529 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1992965529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 208469 (TX)
- Practice address
- 200 Memorial Dr
Luling, TX 78648-3213 - Phone
- (830) 875-8457
- NPI assigned
- Jun 17, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 208469 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 208469 | TX | Yes |
Addresses
Primary practice location
200 Memorial Dr
Luling, TX 78648-3213
Mailing address
200 Memorial Dr
Luling, TX 78648-3213
Phone (830) 875-8457
Other providers in Luling, TX
- Sofia Malik
- Marilyn Devere
- Marilyn Devere
- Martin E Weiner, M.D. P.a.
- Kathleen J McGinnis
- Katrina A Navarro
- Ivan Robert Nepustil
- Walter Lee Nickells
- Kalyana Chakravarthi Ponangi
- Post Acute Medical at Luling LLC
All providers in Luling, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.