Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOLENE LARAE BENNETT, PT
ActiveJOLENE LARAE BENNETT, PT is a Ergonomics (Occupational Therapy) healthcare provider located in GRANDVILLE, Michigan. NPI 1619551165 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · GRANDVILLE, MI
Registration Details
- NPI Number
- 1619551165
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2021 (5.280276492079 yrs)
- Last Updated
- May 11, 2021
- License
-
5501003994 (MI)
Practice Information
- Address
-
3540 FAIRLANES AVE SWGRANDVILLE, MI, 494181536Browse MI providers · Browse ZIP 49418
- Phone
- 6165310464
- Fax
- 6165313651
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.