Individual
BRIANNA CAROLE BENNETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
PO BOX 775, BUENA VISTA, CO 81211-0775
(860) 605-6420
Mailing address
PO BOX 775, BUENA VISTA, CO 81211-0775
(860) 605-6420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10963
MA
225X00000X
Occupational Therapist
15459
FL
225X00000X
Occupational Therapist
OT 2752
ME
225X00000X
Occupational Therapist
Primary
OT.0004563
CO
Other
Enumeration date
07/16/2013
Last updated
01/22/2025
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