Individual
JOSHUA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5959 CORSON AVE S, SEATTLE, WA 98108-2605
(206) 971-7466
Mailing address
724 N 84TH ST, SEATTLE, WA 98103-4328
(206) 496-2124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WA
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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