Individual
JODY BENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., ATC/L
Contact information
Practice address
1880 N PERRY ST, SUITE 100, OTTAWA, OH 45875-1129
(419) 523-9004
(419) 523-9143
Mailing address
625 S SIMON ST, ADA, OH 45810-1526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
490
OH
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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