Individual
BROOKLYNN MIKKEL BENZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S WINSTED ST, SPRING GREEN, WI 53588-9435
(608) 588-2586
Mailing address
S11892 COUNTY ROAD G, SPRING GREEN, WI 53588-9638
(608) 556-6479
(608) 556-6479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7165-27
WI
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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