Individual
JAIME BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6237 CAROLINA COMMONS DR STE 110, INDIAN LAND, SC 29707-6014
(803) 306-8861
(803) 849-8396
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(704) 323-3611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6989
SC
Other
Enumeration date
09/13/2006
Last updated
01/31/2025
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