Organization
ANGELA BENZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA H BENZ O.T. (OWNER)
(859) 481-2916
Entity
Organization
Contact information
Practice address
1535 TATUM RIDGE RD, WILLISBURG, KY 40078-8241
(859) 481-2916
Mailing address
1535 TATUM RIDGE RD, WILLISBURG, KY 40078-8241
(859) 481-2916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0216
KY
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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