Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY WAGENBACH, PTA
ActiveBETHANY WAGENBACH, PTA is a Occupational Therapist healthcare provider located in PEORIA, Illinois. NPI 1801460266 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PEORIA, IL
Registration Details
- NPI Number
- 1801460266
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2021 (5.249326193919 yrs)
- Last Updated
- May 19, 2021
- License
-
160.009110 (IL)
Practice Information
- Address
-
6809 N KNOXVILLE AVEPEORIA, IL, 616142812Browse IL providers · Browse ZIP 61614
- Phone
- 3099818810
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| KAREN A CHASE | — | 1780726190 |
| PENNY RENE SPRADLIN | PTA | 1164564290 |
| BRENDA ANN ROLEY | LPTA | 1780726760 |
| WILLIAM RAYMOND HOSTETLER | PTA | 1760525265 |
| LINDA MARIE ELLIOTT | PTA | 1023151024 |
| JENNIFER M KRAVETZ | PTA | 1235272220 |
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.