Individual
KIMBERLY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 S BROADWAY, YONKERS, NY 10701-4006
(914) 378-7573
Mailing address
3545 ROPES AVE, BRONX, NY 10475-1018
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007694-1
NY
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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