Individual
KAILEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
113 LABBY RD, NORTH GROSVENORDALE, CT 06255-1247
(860) 497-0239
(860) 497-0047
Mailing address
113 LABBY RD, NORTH GROSVENORDALE, CT 06255-1247
(860) 497-0239
(860) 497-0047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2275
CT
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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