Individual
KRISTIN BETH BENESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1305 ALEXANDER ST, CENTRALIA, WA 98531-1305
(360) 736-2823
(360) 736-7085
Mailing address
412 ROOT DR SE, BLAIRSTOWN, IA 52209-9700
(319) 981-9295
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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