Individual
MS. VICKI L BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1005 LUJAN HILL RD, LAS CRUCES, NM 88007-6304
(575) 523-4573
Mailing address
137 HIGH ST, WEST PARIS, ME 04289-5200
(207) 595-8211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT1229
ME
225X00000X
Occupational Therapist
Primary
OT3165
NM
Other
Enumeration date
07/17/2008
Last updated
01/10/2022
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