Individual
MR. AMY J BENTINGANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
4804 GARDEN GROVE DR, COLUMBIA, MO 65203-9765
(573) 225-4300
Mailing address
4804 GARDEN GROVE DR, COLUMBIA, MO 65203-9765
(573) 225-4300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2007011307
MO
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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