Individual
BENJAMIN PATRICK DUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
Mailing address
225 DESOTO PKWY, SATELLITE BEACH, FL 32937-3330
(321) 499-0559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA20033
FL
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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