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Contact Information

CARLA J BENBROOK, COTA/L
SHADY LAWN
2582 CERULEAN RD
CADIZ, KY42211
 Phone: 270-522-3236
 Fax: 270-522-0825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for CARLA J BENBROOK · (Female)

NPI Number 1184824195
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 07/19/2007
Last updated 07/19/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # A3592
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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