Provider Demographics
NPI:1467729707
Name:BENEKER, KATHERINE ELAINE (COTA/L)
Entity Type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:ELAINE
Last Name:BENEKER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 MAIN ST
Mailing Address - Street 2:APT B
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-4840
Mailing Address - Country:US
Mailing Address - Phone:513-344-5378
Mailing Address - Fax:
Practice Address - Street 1:230 MAIN ST
Practice Address - Street 2:APT B
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-4840
Practice Address - Country:US
Practice Address - Phone:513-344-5378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04808174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist