Doctor Name: | BETHANY JEAN BOUTIN |
NPI Number: | 1659703965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT022924 |
Business Practice Address: | 3615 Nicholas St Easton, PA - 180455113 |
Business Phone Number: | 6102522216 |
Business Fax Number: | 6102525597 |
Mailing Address: | 601 S Greenwood Ave, Apt. D6 EASTON |
State: | PA |
Postal Code: | 180455233 |
Phone Number: | 2074627085 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2013 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT022924 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |