Individual
HOLLY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10940 PARALLEL PKWY, KANSAS CITY, KS 66109-2209
(913) 378-0782
Mailing address
7632 FLOYD ST, OVERLAND PARK, KS 66204-2912
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02543
KS
225X00000X
Occupational Therapist
2008027863
MO
225X00000X
Occupational Therapist
T01989
KS
Other
Enumeration date
09/30/2008
Last updated
06/21/2012
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