Individual
CARLA JUNE BENBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
SHADY LAWN, 2582 CERULEAN RD, CADIZ, KY 42211
(270) 522-3236
(270) 522-0825
Mailing address
PO BOX 161, CROFTON, KY 42217-0161
(270) 424-5843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3592
KY
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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