Individual
TANIA L MONTANEZ BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6900 S ORANGE BLOSSOM TRL STE 102, ORLANDO, FL 32809-5734
(321) 445-1287
Mailing address
7840 GILLINGHAM CT, ORLANDO, FL 32825-3371
(321) 215-1791
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17423
FL
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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