Individual
MELISSA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3222 NW LOOP 410 APT 18, SAN ANTONIO, TX 78213-2813
(210) 632-3110
Mailing address
3222 NW LOOP 410 APT 18, SAN ANTONIO, TX 78213-2813
(210) 632-3110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212665
TX
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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