Individual
LORI ANN BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
721 S AIRPORT DR, WESLACO, TX 78596
(956) 968-8502
(956) 973-2253
Mailing address
721 S AIRPORT DR, WESLACO, TX 78596-6617
(956) 968-8502
(956) 973-2253
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116106
TX
Other
Enumeration date
04/25/2014
Last updated
08/29/2018
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