Individual
KATHERINE E BENEDITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
93 NORTH ST, SHELTON, CT 06484-1934
(203) 954-5952
Mailing address
93 NORTH ST, SHELTON, CT 06484-1934
(203) 954-5952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005639
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005639
OCCUPATIONAL THERAPY LICENSE
CT
Enumeration date
09/07/2022
Last updated
09/07/2022
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