Individual
MICHAEL BENIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
77 MADISON AVE, MORRISTOWN, NJ 07960-7330
(973) 540-9800
Mailing address
49 PARK TER, WEST ORANGE, NJ 07052-5716
(973) 901-1481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09186100
NJ
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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