Individual
BENJAMIN FENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR
Contact information
Practice address
1035 US HIGHWAY 2 W, KALISPELL, MT 59901-3407
(406) 471-9910
(406) 309-2076
Mailing address
500 12TH AVE W STE 2A, COLUMBIA FALLS, MT 59912-3855
(406) 471-9910
(406) 309-2076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
60468807
WA
225XP0200X
Pediatric Occupational Therapist
Primary
8563
MT
Other
Enumeration date
12/08/2015
Last updated
10/12/2021
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