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Individual

MATTHEW BENICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10701 EAST BLVD, 5M-690E EUL, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
1522 HANNUM DR, STREETSBORO, OH 44241-5194

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
65373
OH
225800000X
Recreation Therapist
Primary
65373
OH

Other

Enumeration date
03/15/2016
Last updated
04/02/2020
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