Doctor Name: | BETHANY ROUN |
NPI Number: | 1225442684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC |
License Number: | 504 |
Business Practice Address: | 35 Kosciuszko St Manchester, NH - 031011608 |
Business Phone Number: | 6036279728 |
Business Fax Number: | |
Mailing Address: | 5 Auburn St, Apt 3 EXETER |
State: | NH |
Postal Code: | 038332518 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |