NPI 1073158184 · live from the CMS NPI Registry
Shad W Bennett
Occupational Therapist in Chandler, AZ. National Provider Identifier 1073158184, active.
NPI record
| NPI | 1073158184 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 2195 W Chandler Blvd Ste 180, Chandler, AZ 85224 |
| Practice phone | 809-963-9339 |
| Enumerated | November 12, 2019 |
| Last updated | November 19, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 007975 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.