Individual
MS. LENA ANN BENVENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1794
(518) 437-5843
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1794
(518) 437-5843
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
027810-01
NY
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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