Individual
MS. BARBARA LYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8520
(631) 726-8291
Mailing address
30 GREENFIELD RD, SOUTHAMPTON, NY 11968-3705
(516) 993-7997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5388276
NY
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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