Individual
MS. SUSAN MARIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 W CEDAR ST, HESSTON, KS 67062-8100
(620) 327-0400
Mailing address
2214 S ESTELLE ST, WICHITA, KS 67211-5505
(316) 303-2595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00139
KS
224ZE0001X
Environmental Modification Occupational Therapy Assistant
18-00139
KS
Other
Enumeration date
04/09/2016
Last updated
04/09/2016
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