Individual
MARK A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 PINEHURST AVE, CARTHAGE, NC 28327-9338
(910) 947-5155
Mailing address
220 BRIARWOOD PL, SANFORD, NC 27332-2382
(270) 307-3393
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
12664
NC
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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