Individual
DARYL GUERRERO BENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 FOREST AVE NE, VALDESE, NC 28690-9733
(919) 306-7175
Mailing address
111 FOREST AVE NE, VALDESE, NC 28690-9733
(919) 306-7175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8080
NC
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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