Organization
MARWYN G BENEMERITO
Active
Other names
Therapy Hut
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARWYN GARIBAY BENEMERITO OTR/L (OWNER / OCCUPATIONAL THERAPIST)
(901) 309-5219
Entity
Organization
Contact information
Practice address
146 TIMBER CREEK DR, SUITE 101, CORDOVA, TN 38018-4234
(901) 309-5219
(901) 309-5265
Mailing address
1044 CROSS WOOD LN, CORDOVA, TN 38018-6604
(901) 309-5219
(901) 309-5265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5112
TN
225X00000X
Occupational Therapist
Primary
955
TN
225XP0200X
Pediatric Occupational Therapist
3892
TN
235Z00000X
Speech-Language Pathologist
2379
TN
235Z00000X
Speech-Language Pathologist
3275
TN
235Z00000X
Speech-Language Pathologist
3278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4128794
BCBS OF TN
TN
05
—
5441022
—
TN
Enumeration date
08/30/2006
Last updated
10/08/2008
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