Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BETHANY MARIE CARROLL, OTR
Deactivated Sole ProprietorMRS. BETHANY MARIE CARROLL, OTR is a Occupational Therapist healthcare provider located in ROSEMOUNT, Minnesota. NPI 1609128727 is deactivated in the NPPES registry. Verify at CMS.
Occupational Therapist · ROSEMOUNT, MN
This NPI has been deactivated.
The record was deactivated on February 28, 2013.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1609128727
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2012 (0.38082191780822 yrs)
- Last Updated
- Apr 29, 2014
- Deactivated
- Feb 28, 2013
- License
-
104313 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15576 COLUMBARY CTROSEMOUNT, MN, 550684608Browse MN providers · Browse ZIP 55068
- Phone
- 9522173325
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.