Individual
KATELYN BENVENUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
Mailing address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011337
MI
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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