Brian Bettorf, COTA-L

NPI 1528699618 · on the registry since 2020 · sole proprietor

Practice

Address: 3490 Humbert Rd
Alton, IL 62002
Phone: (618) 465-2626
Organisation at this address: Alton Nh Llc
Bravo Care Of Alton Inc
Adapt Of Illinois, Inc.
Cep America - Illinois Snf, Llp
Rosewood Care Center, Inc Of Alton
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois