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Organization
MY-E-THERAPY LLC
Active
Organization
MY-E-THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY BENNETT MS,OTR/L (OWNER)
(812) 239-5355
Entity
Organization
Contact information
Practice address
4790 E BRENTVIEW AVE, TERRE HAUTE, IN 47805-9776
(812) 239-5355
Mailing address
4790 E BRENTVIEW AVE, TERRE HAUTE, IN 47805-9776
(812) 239-5355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/01/2020
Last updated
04/20/2020
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