Individual
ALIVIA BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1615 COBB PKWY NW, APT 2007, MARIETTA, GA 30062-2467
(901) 512-8652
Mailing address
200 RENAISSANCE PKWY NE APT 319, ATLANTA, GA 30308-2360
(901) 512-8652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006468
GA
Other
Enumeration date
08/28/2016
Last updated
05/02/2020
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