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Individual

ELLIE C BENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5901 MACARTHUR BLVD NW, WASHINGTON, DC 20016-2541
(202) 349-3400
Mailing address
1200 N VEITCH ST APT 724, ARLINGTON, VA 22201-5827
(434) 987-1549

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA200001243
DC

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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