Provider Demographics
NPI:1780195248
Name:GALBRAITH, BETHANY SHAE (OTR/L)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:SHAE
Last Name:GALBRAITH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7510 E THOMAS RD UNIT 328
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7919
Mailing Address - Country:US
Mailing Address - Phone:334-315-0121
Mailing Address - Fax:
Practice Address - Street 1:9155 N 3RD ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2410
Practice Address - Country:US
Practice Address - Phone:602-218-9483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist