# MRS. MARIA A BENVENUTTI-PAYNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700954930
- **Gender:** F
- **Credential:** MPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT3565 | MS | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 01/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04456567 | — | MS |
| 05 | — | 09016039 | — | MS |
