Individual
DAVID HECTOR BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
10340 WASHINGTON AVE, STURTEVANT, WI 53177-1607
(262) 687-7500
Mailing address
2932 BUENA PARK RD, BURLINGTON, WI 53105-7949
(262) 903-1504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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