Provider Demographics
NPI:1205384781
Name:PATRICK BESS
Entity Type:Organization
Organization Name:PATRICK BESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BESS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:941-451-9106
Mailing Address - Street 1:13934 GOLD CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2359
Mailing Address - Country:US
Mailing Address - Phone:800-259-9897
Mailing Address - Fax:402-939-0637
Practice Address - Street 1:13934 GOLD CIRCLE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144
Practice Address - Country:US
Practice Address - Phone:866-515-8608
Practice Address - Fax:866-515-8609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60418980283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital