Individual
EMILY JAYNE BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3102 UNIVERSITY DR S, FARGO, ND 58103-6004
(701) 293-7750
Mailing address
3102 UNIVERSITY DR S, FARGO, ND 58103-6004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
23
ND
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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