| NPI | 1720193840 |
|---|---|
| Former Name | TAMMY RACHEL BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000548) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-10-17 |