Individual
MISS ALLISON MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR-L
Contact information
Practice address
1031 W WILLIAMS ST, SUITE 104, APEX, NC 27502-3955
(919) 363-5000
(919) 363-5346
Mailing address
1123 BRISBANE WOODS WAY, CARY, NC 27511-9279
(919) 451-2306
(919) 363-5346
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5261
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14327
BLUE CROSS BLUE SHIELD
NC
05
—
7301667
—
NC
Enumeration date
01/16/2007
Last updated
07/09/2007
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