Provider Demographics
NPI:1922113893
Name:MCCABE, BETHANY (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:
Last Name:MCCABE
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 BLUFF ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3742
Mailing Address - Country:US
Mailing Address - Phone:303-305-4400
Mailing Address - Fax:303-305-4400
Practice Address - Street 1:2501 BLUFF ST APT 2
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3742
Practice Address - Country:US
Practice Address - Phone:303-305-4400
Practice Address - Fax:303-305-4400
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0004149225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist