Individual
MR. BENJAMIN CLARK SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1540 E GROVE AVE, RANTOUL, IL 61866-2736
(217) 383-3400
Mailing address
PO BOX 3, TOLONO, IL 61880-0003
(217) 722-0404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016446
IL
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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