IndividualActive
Amanda Bennett, OTR/L
NPI 1063172179 · Occupational Therapist · Fairmont, WV
Provider details
- NPI number
- 1063172179
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2085 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1539 Country Club Rd
Fairmont, WV 26554-1306
Phone: (304) 366-9100
Approximate (ZIP-level) locationGet directions
Mailing address
15 Ashbury Ln
Fairmont, WV 26554-3473
Registry dates
- Enumerated
- 2021-12-30
- Last updated
- 2021-12-30
- Certified
- 2021-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.