Individual
BEN WILSON GOLDEN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
700 COTTAGE BROOK LN, WEBSTER, NY 14580-8654
(585) 797-9366
Mailing address
72 BOND ST, ROCHESTER, NY 14620-1346
(845) 645-5094
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2252856
NY
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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