Individual
KAYLEIGH M BENTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
421 VAN THOMAS DR, RALEIGH, NC 27615-5232
(919) 847-4892
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8065
NC
Other
Enumeration date
04/02/2013
Last updated
09/20/2016
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