Individual
DANIEL BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA, ATP
Contact information
Practice address
232 LINDBERG AVE, MCALLEN, TX 78501-2920
(956) 682-7774
Mailing address
1605 JOHNSON LN, DONNA, TX 78537-6595
(956) 998-8234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211741
TX
247200000X
Other Technician
89411
TX
Other
Enumeration date
08/30/2012
Last updated
12/12/2018
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