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Individual

SHELBY LYNN BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
Mailing address
3330 DOUBLE CREEK DR N APT 201, PLAINFIELD, IN 46168-5590
(812) 239-5355

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/13/2018
Last updated
04/13/2018
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