Individual
LAURA ANN BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3520 EXECUTIVE CENTER DRIVE, SUITE 128, AUSTIN, TX 78731
(512) 343-0222
Mailing address
3520 EXECUTIVE CENTER DR STE 128, AUSTIN, TX 78731-1636
(512) 343-0222
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
115341
—
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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