Shad W Bennett

NPI #1073158184 in Chandler, Arizona

Provider Information

NPI Number: 1073158184
Entity Type: Individual
Name: Shad W Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 12, 2019
Last Updated: Nov 19, 2019

Practice Location

Address: 2195 W CHANDLER BLVD STE 180
City: Chandler
State: Arizona
ZIP Code: 85224
Phone: (809) 963-9339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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