Individual
ENRIQUE BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5350 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4520
(405) 355-3239
Mailing address
5350 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4520
(405) 355-3239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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