Individual
JAMIE KAY BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16035 WILLOWSHORES DR, FENTON, MI 48430-9104
(810) 210-8814
Mailing address
16035 WILLOWSHORES DR, FENTON, MI 48430-9104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MI
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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