Carla June Benbrook COTA/L

NPI 1184824195 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1184824195
Gender Female
Enumeration Date 07/19/2007
Last Updated 07/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
SHADY LAWN
2582 CERULEAN RD
CADIZ KY, 42211, US
Phone (270) 522-3236
Fax (270) 522-0825
Business Location
PO BOX 161
CROFTON KY, 42217-0161, US
Phone (270) 424-5843
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Kentucky
License Number A3592
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According to our database, Carla June Benbrook COTA/L NPI is 1184824195, taxonomy code is 224Z00000X and license number is A3592, license state is located at Kentucky. Carla June Benbrook COTA/L physically located at Shady Lawn, Cadiz KY, 42211. NPI Number Carla June Benbrook COTA/L has the Individual type.

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1184824195 NPI number is provided on an as is basis without warranty of any kind. 1184824195 is maintained by the National Plan & Provider Enumeration System. The contents of Carla June Benbrook COTA/L are for informational purposes only.