Organization
INDEPENDENCE AT HOME PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET BENOIT OTR/L (CEO)
(248) 425-4606
Entity
Organization
Contact information
Practice address
541 UNION ST, NILES, MI 49120-1536
(269) 205-8843
Mailing address
541 UNION ST, NILES, MI 49120-1536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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