Individual
CHANTEL MILLER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
315 E CLINTON ST, HOBBS, NM 88240-8238
(575) 393-0755
Mailing address
315 E CLINTON ST, HOBBS, NM 88240-8238
(575) 393-0755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
284283-4201
UT
225X00000X
Occupational Therapist
Primary
OT3727
NM
Other
Enumeration date
04/16/2007
Last updated
08/09/2023
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