Individual
CHELSI BROEMSER-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 W CROSBY RD STE 136, CARROLLTON, TX 75006-6904
(972) 237-0100
Mailing address
1734 MARTIN DR APT 11202, WEATHERFORD, TX 76086-6365
(682) 262-9016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216446
TX
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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