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Individual

KATHERINE NATALIE BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1001 S KIRKWOOD RD, SAINT LOUIS, MO 63122-7254
(314) 821-7554
Mailing address
1001 S KIRKWOOD RD, SAINT LOUIS, MO 63122-7254
(314) 821-7554

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015039646
MO

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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