Brian H Bettorf, COTA-L

NPI #1528699618 in Alton, Illinois

Provider Information

NPI Number
1528699618
Entity Type
Individual
Name
Brian H Bettorf, COTA-L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA-L
Enumeration Date
Jan 28, 2020
Last Updated
Jan 28, 2020

Practice Location

Address
3490 HUMBERT RD
City
Alton
ZIP Code
62002-7101
Phone
(618) 465-2626

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