Individual
JERYL D. BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
406 FISHER HALL, 711 FORBES AVENUE, PITTSBURGH, PA 15282-0001
(412) 396-4200
(412) 396-1388
Mailing address
403 FISHER HALL, 600 FORBES AVENUE, PITTSBURGH, PA 15282-0001
(412) 396-4200
(412) 396-1388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002735L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
698540
HIGHMARK
PA
01
—
698542
HIGHMARK
PA
Enumeration date
09/27/2006
Last updated
07/08/2007
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