Individual
MOLLY RAE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
275 LAFAYETTE ST, SALEM, MA 01970-5404
(978) 744-7037
(978) 741-8175
Mailing address
1115 AMES HILL DR, TEWKSBURY, MA 01876-1174
(732) 859-6288
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11652
MA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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