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Individual

MRS. LISA KRISTINE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
4860 LAKE ROCKWELL RD, RAVENNA, OH 44266-8303
(330) 730-6578

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.005009
OH

Other

Enumeration date
05/25/2007
Last updated
07/08/2007
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