Individual
ALLISON BENNETT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 INDEPENDENCE BLVD, WILMINGTON, NC 28412-2599
(910) 392-3110
Mailing address
1335 ELEMENT WAY APT 3103, WILMINGTON, NC 28412-1611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12271
NC
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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