Individual
KIMBERLY ANN BENRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
211 NE REVERE AVE # 7, BEND, OR 97701-4010
(541) 617-8769
Mailing address
221 SE AIRPARK DR, BEND, OR 97702-2449
(541) 771-9242
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
470905
OR
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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