Individual
YANIQUE CHERISE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 MORGAN ST APT 3L, STAMFORD, CT 06905-5458
(347) 536-9893
Mailing address
95 MORGAN ST APT 3L, STAMFORD, CT 06905-5458
(347) 536-9893
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011254
NY
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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