Individual
MRS. JENNIFER MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
25 W PLEASANT ST, SPRINGFIELD, OH 45506-2278
(937) 325-7671
Mailing address
3024 PEKIN RD, SPRINGBORO, OH 45066-7434
(937) 581-5040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007355
OH
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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