Individual
BENJAMIN FLEENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4710 SPOTSYLVANIA PKWY STE 100, FREDERICKSBURG, VA 22407-9433
(540) 479-4779
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119011282
VA
225X00000X
Occupational Therapist
OT007782
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007782
MEDICAL LICENSE
GA
Enumeration date
07/21/2020
Last updated
02/20/2026
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