Individual
MRS. KIMBERLY BENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
144 HAYES CIR, BARNEVELD, NY 13304-2500
(315) 941-2922
Mailing address
144 HAYES CIR, BARNEVELD, NY 13304-2500
(315) 941-2922
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012752-1
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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