Individual
SUSAN C BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
5801 FASHION BLVD, STE 190, MURRAY, UT 84107-6159
(801) 314-4553
Mailing address
5801 FASHION BLVD, STE 190, MURRAY, UT 84107-6159
(801) 314-4553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
321611-4201
UT
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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