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Individual

BENJAMEN K WARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MOT, LOTR

Contact information

Practice address
7720 HIGHWAY 165 STE 1, COLUMBIA, LA 71418-5348
(318) 936-2004
(318) 965-7434
Mailing address
3804 HIGHWAY 126 E, GRAYSON, LA 71435-3714
(318) 936-2004
(318) 965-7434

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
307745
LA

Other

Enumeration date
02/19/2018
Last updated
12/18/2023
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