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Individual

BENJAMIN J BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
716 HAGUE AVE, APT 7, SAINT PAUL, MN 55104-7228
(612) 202-7478
Mailing address
716 HAGUE AVE, APT 7, SAINT PAUL, MN 55104-7228
(612) 202-7478

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104769
MN

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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