Individual
TRACY MARIE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CHT
Contact information
Practice address
7224 118TH AVE, STE E, KENOSHA, WI 53142-8424
(262) 857-4400
(262) 857-4411
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.007462
IL
225X00000X
Occupational Therapist
Primary
WI5346-26
WI
Other
Enumeration date
04/14/2009
Last updated
01/08/2015
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