Individual
LILLYN MARIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR, CLT, CFPS
Contact information
Practice address
4460 HODGES BLVD APT 417, JACKSONVILLE, FL 32224-5205
(504) 669-1188
Mailing address
4460 HODGES BLVD APT 417, JACKSONVILLE, FL 32224-5205
(504) 669-1188
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
OC013958
PA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT12110
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
Z11331
LA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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