Individual
DAHLIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
549 BALTIMORE PIKE, GLEN MILLS, PA 19342-1020
(610) 558-7418
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP008348
PA
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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