Individual
MICHELE BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 MCKAY CT STE 100, BOARDMAN, OH 44512-5786
(330) 965-3899
(330) 965-3839
Mailing address
835 MCKAY CT STE 100, BOARDMAN, OH 44512-5786
(330) 965-3899
(330) 965-3839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001669
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01669
LICENSE #
OH
Enumeration date
08/20/2006
Last updated
09/17/2019
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