Individual
MR. DAVID A BENN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MOT CHT
Contact information
Practice address
690 N COFCO CENTER CT, SUITE 260, PHOENIX, AZ 85008-6462
(602) 279-6905
(602) 279-6934
Mailing address
690 N COFCO CENTER CT, SUITE 260, PHOENIX, AZ 85008-6462
(602) 279-6905
(602) 279-6934
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
2988
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
798639
—
AZ
Enumeration date
10/11/2005
Last updated
07/08/2007
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