Individual
ELIZABETH ANNE BENEDETTI-WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
27424 GRANT ST, SAINT CLAIR SHORES, MI 48081-3422
(248) 703-1445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010839
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432403
NBCOT
MI
01
—
5201010839
MICHIGAN OTR LICENSE
MI
Enumeration date
11/21/2020
Last updated
11/12/2024
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