Individual
EDITH ANNIE BENISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
25 FOREST ST, ATTLEBORO, MA 02703-2407
(508) 226-6035
Mailing address
25 FOREST ST, ATTLEBORO, MA 02703-2407
(508) 226-6035
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
4346
MA
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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