Individual
GABRIELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1721 W ELFINDALE ST, SPRINGFIELD, MO 65807-1295
(417) 874-1906
Mailing address
3734 SOUTH AVE STE E, SPRINGFIELD, MO 65807-5291
(417) 839-4318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MO
Other
Enumeration date
02/02/2021
Last updated
01/17/2022
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