Benjamin C Sudkamp, MOT
Benjamin C Sudkamp, MOT is an Occupational Therapist in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2022.
- Licensed in
- MO
- In the registry since
- 2022
Practice location Address checks out
913 Bolger CtFenton, MO 63026-2030
Phone: (636) 305-9599
Fax: (636) 305-9799
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X (MO) |
|---|
Record details
| NPI number | 1982350112 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MOT |
| Sole proprietor | No |
| NPI enumerated | February 25, 2022 |
| Last updated in NPPES | February 25, 2022 |
| Certification date | February 25, 2022 |
| Mailing address | 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 |
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