Individual
ADINA BENSOUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(866) 426-2811
Mailing address
9 ARCADIAN DR, SPRING VALLEY, NY 10977-1125
(800) 330-7711
(866) 426-2811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.006752
OH
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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