Individual
JACQUELINE EVE BENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1201 WINTER GARDEN VINELAND RD STE 10, WINTER GARDEN, FL 34787-4380
(407) 654-5455
Mailing address
6619 EARTHGOLD DR, WINDERMERE, FL 34786-7342
(407) 764-0673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20209
FL
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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