Benjamin C Sudkamp, MOT

NPI #1982350112 in Fenton, Missouri

Provider Information

NPI Number: 1982350112
Entity Type: Individual
Name: Benjamin C Sudkamp, MOT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOT
Enumeration Date: Feb 25, 2022
Last Updated: Feb 25, 2022

Practice Location

Address: 913 BOLGER CT
City: Fenton
State: Missouri
ZIP Code: 63026-2030
Phone: (636) 305-9599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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