Individual
KATIE BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 751-7195
Mailing address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 751-7195
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
P04923
NY
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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