Individual
HELEN JOHANNA BANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 BRANHAM ST, ELGIN, SC 29045-9208
(305) 770-8475
Mailing address
1000 BRANHAM ST, ELGIN, SC 29045-9208
(305) 770-8475
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
14722
FL
224Z00000X
Occupational Therapy Assistant
Primary
—
SC
Other
Enumeration date
09/14/2015
Last updated
09/11/2018
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