Individual
MS. ANGELA JEAN BENEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 ROCHESTER RD STE 105, TROY, MI 48083-5464
(248) 689-0468
Mailing address
3190 ROCHESTER RD STE 105, TROY, MI 48083-5464
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007952
MI
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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