Individual
KENDRA LEE BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
200 SOMERSET ST, NEW BRUNSWICK, NJ 08901-1942
(732) 258-7000
Mailing address
24 AVE AT PORT IMPERIAL, UNIT 307, WEST NEW YORK, NJ 07093-8399
(928) 797-5937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00549100
NJ
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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