Individual
BENJAMIN HOSSSEIN HAYATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
315 W GENESEE AVE, SAGINAW, MI 48602-5511
(989) 980-9747
Mailing address
330 STATE PARK DR, BAY CITY, MI 48706-1349
(989) 225-0190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010195
MI
225XP0200X
Pediatric Occupational Therapist
5201010195
MI
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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