| NPI | 1629841812 |
|---|---|
| Former Name | CEIANNA NICHOLE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2421) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA007597) |
| 224Z00000X Occupational Therapy Assistant (Licence: WV C2333) | |
| 225X00000X Occupational Therapist (Licence: OH OT012725) | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-11-17 |