Individual
KATIE LOUISE BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2916 38TH ST, ROCK ISLAND, IL 61201-5665
(410) 459-3485
Mailing address
2916 38TH ST, ROCK ISLAND, IL 61201-5665
(410) 459-3485
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
02/14/2013
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