Individual
MS. GINA MICHELE BENAVENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DHSC, MPH, OTR
Contact information
Practice address
6705 COVERED BRIDGE DR UNIT 23, AUSTIN, TX 78736-3313
(512) 200-1206
Mailing address
6705 COVERED BRIDGE DR UNIT 23, AUSTIN, TX 78736-3313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
107590
TX
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
01/12/2006
Last updated
03/02/2022
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