Fanor Benavidez

NPI #1316793011 in La Grange, Illinois

Provider Information

NPI Number
1316793011
Entity Type
Individual
Name
Fanor Benavidez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Apr 24, 2024
Last Updated
Apr 24, 2024

Practice Location

Address
35 SHAWMUT AVE
ZIP Code
60525-8648
Phone
(708) 206-9899

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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