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NPI Code Detail

MEDICARE: BENJAMIN KRYSIEK OT

MEDICARE: BENJAMIN KRYSIEK OT
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 TherapistOT009760GA

General Provider Information

NPI Number : 1437082757
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN KRYSIEK OT
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number : 877-407-3422
Fax Number :
Provider Business Practice Location Address
First Line : 3090 PREMIERE PKWY STE 400
Second Line :
City : DULUTH
State : GA
Zip : 30097-8915
Country : US
Telephone Number : 877-407-3422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ BENJAMIN KRYSIEK OT” Practice Location

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