Individual
LESLIE BENEGASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4610 HOLLY TREE RD, WILMINGTON, NC 28409-8556
(910) 716-4578
Mailing address
425 JOHN S MOSBY DR, WILMINGTON, NC 28412-7122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10402
NC
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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