Individual
TAHANIA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 N HIAWASSEE RD, ORLANDO, FL 32818-5822
(321) 217-0923
Mailing address
1800 N HIAWASSEE RD, ORLANDO, FL 32818-5822
(321) 217-0923
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18601
FL
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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