Shawnette Bennett, OTA
Occupational Therapy Assistant, Environmental Modification in Rosedale, NY. Individual provider (NPI-1).
NPI number1982116380
StatusActive
Last updated in NPPESOct 26, 2017
Details
- NPI
- 1982116380
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shawnette Bennett
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2017
- Last updated
- Oct 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224ZE0001X | Occupational Therapy Assistant, Environmental Modification | 006811 | NY | Yes |
Practice location
25951 147th DrRosedale, NY 11422-2925
Phone 347-292-7241
Mailing address
25951 147th DrRosedale, NY 11422-2925
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