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Individual

ALLISON LEE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 251-5558
Mailing address
6310 MERLE HAY RD UNIT 308, JOHNSTON, IA 50131-1476
(641) 425-4611

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
098321
IA

Other

Enumeration date
10/04/2019
Last updated
02/13/2020
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