Individual
JUSTINE MEUNIER FIEBELKORN BENAVENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1125 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 485-3555
Mailing address
711 VIA CASITAS, GREENBRAE, CA 94904-1814
(415) 531-8929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14344
CA
Other
Enumeration date
09/03/2021
Last updated
12/29/2021
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