DANA BENNETT

BELLEVILLE, IL
NPI1093279432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.003529)
Enumeration Date2019-01-30
Last Update Date2019-01-30
Business Address
DANA BENNETT COTA/ L
4500 MEMORIAL DR
BELLEVILLE, IL 62226-5360
Phone number: 618-257-5758
Mailing Address
DANA BENNETT COTA/ L
4500 MEMORIAL DR
BELLEVILLE, IL 62226-5360
Phone number: 618-257-5758
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