Individual ProviderAmy BennettOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2625 Shadelands Dr, Walnut Creek, CA 94598-2512(925) 939-8585PECOS EnrollmentBased on the most recent information from CMS, provider Amy 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 ID1902267255Provider TypeIndividualFull NameBennett, AmyCredentialOTR/LGenderFemaleSole ProprietorNoEnumeration Date3/15/2016Last Updated3/15/2016Contact InformationPractice LocationPractice Address2625 Shadelands Dr, Walnut Creek, CA 94598-2512Phone(925) 939-8585Fax(925) 933-2709Mailing LocationMailing AddressPO Box 31396, Walnut Creek, CA 94598-8396Phone(925) 939-8585Fax(925) 933-2709Provider TaxonomiesCodeDescriptionLicenseCode225XH1200XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense15966California