Individual
MRS. JENNIFER WHITEHEAD BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
181 MAIN ST, NORWAY, ME 04268-5664
(207) 743-1562
Mailing address
PO BOX 146, BETHEL, ME 04217-0146
(207) 824-8210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
ME 567
ME
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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