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Individual

MR. MARWYN GARIBAY BENEMERITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
895 WILLOW TREE CIR, SUITE 100, CORDOVA, TN 38018-3106
(901) 309-5219
(901) 309-5265
Mailing address
895 WILLOW TREE CIR, SUITE 100, CORDOVA, TN 38018-3106
(901) 309-5219
(901) 309-5265

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
955
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4128796
BCBS OF TN PIN
TN
01
4290875
BCBS PIN
TN
01
7536487
AETNA PIN
TN
Enumeration date
09/21/2006
Last updated
08/25/2014
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