Individual
MELISSA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5900
Mailing address
87 KELSEY SPRINGS DR, MADISON, CT 06443-2479
(203) 779-5554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004426
CT
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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