Individual
CAROLYN BARBARA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
25 PROFFITT ST, COOKEVILLE, TN 38501-3434
(931) 265-3745
(931) 520-3754
Mailing address
25 PROFFITT ST, COOKEVILLE, TN 38501-3434
(931) 265-3745
(931) 520-3754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3274
TN
Other
Enumeration date
02/14/2007
Last updated
07/30/2008
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