Individual
MS. DOMINIQUE BENOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 769-2698
Mailing address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008026
NY
Other
Enumeration date
03/16/2012
Last updated
07/22/2020
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