Dana Bennett, COTA/ L
NPI #1093279432 in Belleville, Illinois
Provider Information
- NPI Number
- 1093279432
- Entity Type
- Individual
- Name
- Dana Bennett, COTA/ L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/ L
- Enumeration Date
- Jan 30, 2019
- Last Updated
- Jan 30, 2019
Practice Location
- Address
- 4500 MEMORIAL DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5360
- Phone
- (618) 257-5758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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