Individual
JENNIFER ANN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
139 STATE STREET RD, CANTON, NY 13617-3504
(315) 386-4504
Mailing address
139 STATE STREET RD, CANTON, NY 13617-3504
(315) 386-4504
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64005126
NY
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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