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Organization

INDPENDENCE AT HOME PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIDGET BENOIT OTR/L (OWNER)
(248) 425-4606
Entity
Organization

Contact information

Practice address
541 UNION ST, NILES, MI 49120-1536
(248) 435-4606
Mailing address
541 UNION ST, NILES, MI 49120-1536
(248) 435-4606

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
261Q00000X
Clinic/Center
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
01/04/2020
Last updated
01/04/2020
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