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Individual

SUSAN BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 373-3494
Mailing address
8904 LONGMEAD CT, BURKE, VA 22015-3638

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001859
VA

Other

Enumeration date
05/28/2018
Last updated
05/28/2018
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