Individual
HEATHER ANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
509 RYAN WAY, MOUNTAIN TOP, PA 18707-9691
(845) 467-3942
Mailing address
509 RYAN WAY, MOUNTAIN TOP, PA 18707-9691
(845) 467-3942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
093066
IA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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