Individual
MR. BENJAMIN HARL TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
170 COUNTRYSIDE LN APT 7, ORCHARD PARK, NY 14127-1356
(860) 986-3696
Mailing address
170 COUNTRYSIDE LN APT 7, ORCHARD PARK, NY 14127-1356
(860) 986-3696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022910
NY
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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