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Individual

MRS. ANDREA L BENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Mailing address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60430797
WA

Other

Enumeration date
03/27/2014
Last updated
11/06/2015
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