Provider Demographics
NPI:1689247223
Name:MCDANIELS, BETHANY LAI (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:LAI
Last Name:MCDANIELS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:HOPE
Other - Last Name:LAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:9333 OLIVE ST APT SUITE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-3128
Mailing Address - Country:US
Mailing Address - Phone:626-872-9283
Mailing Address - Fax:
Practice Address - Street 1:1500 DUARTE RD
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-3012
Practice Address - Country:US
Practice Address - Phone:800-826-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist