Individual
JENNIFER BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
Mailing address
18 WHITE ST, CONCORD, NH 03301-4176
(603) 224-0187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1260
NH
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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