Individual ProviderJordan BennettOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1303 Mill Pond Ln, Winter Springs, FL 32708-6537(770) 778-9004PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Bennett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1033863923Provider TypeIndividualFull NameBennett, JordanCredentialOTD, OTR/LGenderFemaleSole ProprietorYesEnumeration Date2/9/2022Last Updated2/9/2022Contact InformationPractice LocationPractice Address1303 Mill Pond Ln, Winter Springs, FL 32708-6537Phone(770) 778-9004FaxUnlisted FaxMailing LocationMailing Address1303 Mill Pond Ln, Winter Springs, FL 32708-6537Phone(770) 778-9004FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense22733Florida