Individual
EVAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2783 NC HIGHWAY 68 S STE 112, HIGH POINT, NC 27265-8325
(336) 564-5215
(336) 868-2780
Mailing address
3220 WOODLEA DR, GREENSBORO, NC 27406-5236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12463
NC
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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