Individual
SANDRA LYNN BENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2960 IMMOKALEE RD, SUITE 3, NAPLES, FL 34110-1439
(239) 514-5010
Mailing address
5070 PALMETTO WOODS DR, NAPLES, FL 34119-2814
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 10193
FL
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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