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Penny Lori Bennett, COTA

Occupational Therapy Assistant in Waco, TX. Individual provider (NPI-1).

NPI number1982175220
StatusActive
Last updated in NPPESDec 16, 2018

Details

NPI
1982175220
Entity type
Individual (NPI-1)
Name
Mrs. Penny Lori Bennett
Credential
COTA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2018
Last updated
Dec 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant211418TXYes

Practice location

2401 Development Blvd
Waco, TX 76705-2903

Phone 512-799-7339

Mailing address

2401 Development Blvd
Waco, TX 76705-2903

Phone 512-799-7339

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