Individual
NICOLE BENNINGHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
216 SANTA BARBARA BLVD, CAPE CORAL, FL 33991-2031
(330) 703-7273
Mailing address
314 SW 15TH TER, CAPE CORAL, FL 33991-8000
(330) 703-7273
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OTA 13952
FL
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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