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Individual

TONYA BENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R./L., C.H.T.

Contact information

Practice address
1420 LONDON RD, SUITE 102, DULUTH, MN 55805-2433
(218) 728-3774
(218) 728-3640
Mailing address
1420 LONDON RD, SUITE 102, DULUTH, MN 55805-2433
(218) 728-3774
(218) 728-3640

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
101418
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260T6BE
BCBS MN INDIVIDUAL
MN
05
40852900
WI
01
6403495
MN MEDICA INDIVIDUAL
FM
Enumeration date
09/16/2006
Last updated
07/09/2007
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