Individual
ALAINA BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2630 W 13TH ST, ASHTABULA, OH 44004-2405
(440) 576-9023
Mailing address
46 S ELM ST, JEFFERSON, OH 44047-1319
(330) 881-3877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT011934
STATE BOARD LICENSE
OH
Enumeration date
03/21/2022
Last updated
02/06/2024
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