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Individual

BENITA SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
54 SHARP ST N, MILLVILLE, NJ 08332-2444
(856) 327-2700
Mailing address
112 EARL AVE, GLASSBORO, NJ 08028-2611
(609) 977-3280

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09146900
NJ

Other

Enumeration date
09/28/2017
Last updated
09/28/2017
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