Individual
BRIDGET DOYLE BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 UNION ST, NILES, MI 49120-1536
(248) 425-4606
Mailing address
541 UNION ST, NILES, MI 49120-1536
(248) 425-4606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010012
MI
225X00000X
Occupational Therapist
OT010017
OH
Other
Enumeration date
02/13/2018
Last updated
05/20/2020
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