Individual
MRS. REBECCA E BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5225 OLD ORCHARD RD, SUITE 18, SKOKIE, IL 60077-4405
(847) 663-1020
(847) 663-1022
Mailing address
5415 N SHERIDAN RD, 3014, CHICAGO, IL 60640-1954
(773) 944-1167
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056007868
IL
Other
Enumeration date
11/28/2006
Last updated
11/10/2008
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