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Individual

MARY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR

Contact information

Practice address
2875 BARN RD, STE 100, CHRISTIANSBURG, VA 24073-6389
(540) 639-5786
Mailing address
2875 BARN RD, STE 100, CHRISTIANSBURG, VA 24073-6389
(540) 639-5786

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006890
VA

Other

Enumeration date
10/13/2016
Last updated
10/13/2016
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