Individual
CASSANDRA D BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
317 N FALER AVE, PINEDALE, WY 82941
(307) 367-6236
(307) 367-3332
Mailing address
PO BOX 1037, PINEDALE, WY 82941-1037
(307) 367-6236
(307) 367-3332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-767
WY
Other
Enumeration date
10/01/2009
Last updated
11/17/2015
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