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1063172179
AMANDA BENNETT
FAIRMONT, WV
NPI
1063172179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WV 2085)
Enumeration Date
2021-12-30
Last Update Date
2021-12-30
Business Address
AMANDA BENNETT OTR/L
1539 COUNTRY CLUB RD
FAIRMONT, WV 26554-1306
Phone number: 304-366-9100
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Mailing Address
AMANDA BENNETT OTR/L
15 ASHBURY LN
FAIRMONT, WV 26554-3473
Phone number: 304-816-7073
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