BENJAMIN LEE PARADISE

TOPPENISH, WA
NPI1265075972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: UT  5692129-4202)
Enumeration Date2019-10-25
Last Update Date2019-10-25
Business Address
Mr. BENJAMIN LEE PARADISE Cota/L
802 W 3RD AVE
TOPPENISH, WA 98948-1668
Phone number: 509-865-3955
Mailing Address
Mr. BENJAMIN LEE PARADISE Cota/L
7182 S 1200 E
SOUTH WEBER, UT 84405-9479
Phone number: 801-636-8515