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Individual

ALLIESE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(949) 903-1538
(949) 903-1538
Mailing address
6325 E VERMONT ST, LONG BEACH, CA 90803-2224

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
02/03/2025
Last updated
02/03/2025
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