AUTUMN BENNETT

JONESBORO, AR
NPI1548580590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR2670)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: AR  PTA 2244)
Enumeration Date2010-06-01
Last Update Date2014-01-21
Business Address
-- AUTUMN BENNETT
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-0090
Mailing Address
-- AUTUMN BENNETT
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-0090