Individual
EMMA CLAIRE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3065 COLLEGE RD, FAIRBANKS, AK 99709-3702
(907) 347-1686
Mailing address
1526 GATEWAY DR, FAIRBANKS, AK 99709-2664
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
197876
AK
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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