Individual
MS. GINA BENEDETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
3275 PRAIRIE AVE, ROYAL OAK, MI 48073-6577
(616) 915-3561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007828
MI
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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