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Individual

LAQUETTA L BENBOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
200 NORTHPOINTE CIR, STE 302, SEVEN FIELDS, PA 16046-7861
(186) 674-5227
Mailing address
333 VINCELLETTE ST, UNIT # 10, BRIDGEPORT, CT 06606-2253
(203) 870-8379

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004081
CT

Other

Enumeration date
06/19/2013
Last updated
06/19/2013
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