Individual
AUDREY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1595 W LAKE LANSING RD STE 130, EAST LANSING, MI 48823-1317
(517) 333-6692
(517) 333-6705
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
12642934-4201
UT
225X00000X
Occupational Therapist
Primary
5201012735
MI
Other
Enumeration date
02/05/2022
Last updated
01/02/2025
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