Individual
MRS. JOANNA CLAIRE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
26 TOWER RD NE, MARIETTA, GA 30060-6947
(678) 797-6000
(770) 794-3546
Mailing address
5699 FAIRWOOD DR NW, ACWORTH, GA 30101-4681
(770) 218-9678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003984
GA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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