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NPI Code Detail

MEDICARE: ELIZABETH ANNE BENEDETTI-WEBER OTR/L

MEDICARE:   ELIZABETH ANNE BENEDETTI-WEBER  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201010839MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1432403OTHERMINBCOT
25201010839OTHERMIMICHIGAN OTR LICENSE

General Provider Information

NPI Number : 1629671516
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE BENEDETTI-WEBER OTR/L
Provider Business Mailing Address
First Line : 33900 HARPER AVE STE 104
Second Line :
City : CLINTON TWP
State : MI
Zip : 48035-4258
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 44201 DEQUINDRE RD
Second Line :
City : TROY
State : MI
Zip : 48085-1117
Country : US
Telephone Number : 248-964-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2020
Last Update Date : 05/27/2026

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Directions to “ ELIZABETH ANNE BENEDETTI-WEBER OTR/L” Practice Location

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