Individual
MR. MARWYN GARIBAY BENEMERITO
Active
Individual
MR. MARWYN GARIBAY BENEMERITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
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
Update your record
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