Individual
KELLY BENAVENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
84861
CT
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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