Individual
BRITTANY ALEXIS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 OPAL ST, CARTERSVILLE, GA 30120-2848
(770) 382-6120
Mailing address
2702 N HILL PKWY, ATLANTA, GA 30341-1271
(513) 254-8960
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002113
GA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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