Individual
ANGEL BENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2685 EXECUTIVE PARK DR, STE. 4, WESTON, FL 33331-3651
(954) 515-0892
Mailing address
19415 SW 25TH CT, MIRAMAR, FL 33029-2468
(954) 638-9409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT8098
STATE LICENSE
FL
Enumeration date
06/28/2007
Last updated
07/08/2007
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