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1982116380
SHAWNETTE BENNETT
ROSEDALE, NY
NPI
1982116380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224ZE0001X Occupational Therapy Assistant, Environmental Modification
(Licence: NY 006811)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
Ms. SHAWNETTE BENNETT OTA
25951 147TH DR
ROSEDALE, NY 11422-2925
Phone number: 347-292-7241
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Mailing Address
Ms. SHAWNETTE BENNETT OTA
25951 147TH DR
ROSEDALE, NY 11422-2925
Phone number:
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