Individual
LINDA ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
371 SUDAN DR SE, LOWELL, MI 49331-9169
(616) 897-6836
Mailing address
371 SUDAN DR SE, LOWELL, MI 49331-9169
(616) 897-6836
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005000
MI
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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