Individual
HALEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7800 W OUTER DR, DETROIT, MI 48235-3461
(313) 340-4442
Mailing address
2993 KIPLING AVE, BERKLEY, MI 48072-1637
(248) 885-7100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MI
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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