Individual
ASHLEY BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
510 BROADWAY, NORMAL, IL 61761-3762
(309) 452-4406
Mailing address
4745 S JUGTOWN RD, GARDNER, IL 60424-5908
(815) 514-8877
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.014780
IL
Other
Enumeration date
05/04/2022
Last updated
11/22/2024
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