Individual
KAITLYN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
3140 CAHABA HEIGHTS ROAD, SUITE 102, VESTAVIA, AL 35243
(205) 969-8080
Mailing address
3140 CAHABA HEIGHTS RD STE 102, VESTAVIA, AL 35243-5243
(205) 969-8080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4762
AL
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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