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Individual

NICOLE BENEDICT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOTR

Contact information

Practice address
17950 N 68TH ST APT 3012, PHOENIX, AZ 85054-4194
(701) 426-7959
Mailing address
17950 N 68TH ST APT 3012, PHOENIX, AZ 85054-4194
(701) 426-7959

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4588
AZ

Other

Enumeration date
07/16/2010
Last updated
07/16/2010
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