Individual
BENJAMIN CHARLES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1010 W MAIN ST, HENDERSON, TX 75652-2923
(903) 657-6549
(903) 657-9061
Mailing address
223 MITCHELL RD, MARSHALL, TX 75670-2254
(903) 938-2863
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209816
TX
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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