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1497948889
AMANDA M BENNETT
JACKSON, MS
NPI
1497948889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS TA1049)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
-- AMANDA M BENNETT COTA/L
13 NORTHTOWN DR SUITE 110 TRINITY REHAB
JACKSON, MS 39211
Phone number: 601-206-9195
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Mailing Address
-- AMANDA M BENNETT COTA/L
PO BOX 315 TRINITY REHAB
RIDGELAND, MS 39158
Phone number: 601-206-9195
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