Individual
ELENA MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4218 S PERRY PARK RD, SEDALIA, CO 80135-8207
(720) 441-9329
Mailing address
4218 S PERRY PARK RD, SEDALIA, CO 80135-8207
(720) 441-9329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001617
CO
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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