Provider Demographics
NPI:1316724172
Name:BENNINGTON, SYDNEY MORGAN (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:MORGAN
Last Name:BENNINGTON
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 HERON LN
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-7192
Mailing Address - Country:US
Mailing Address - Phone:304-559-6882
Mailing Address - Fax:
Practice Address - Street 1:196 HERON LN
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-7192
Practice Address - Country:US
Practice Address - Phone:304-559-6882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist