Individual
TAYLOR BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
50 W BROADWAY APT 104, SOUTH BOSTON, MA 02127-1141
(717) 830-8490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15233
MA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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