Individual
ANISSA BEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 INTERNATIONAL PKWY, SUITE 2051, HEATHROW, FL 32746-5303
(800) 798-6035
Mailing address
208 TUSCAN AVE, HATTIESBURG, MS 39401-5331
(800) 798-6035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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