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Individual

BENITO ANTONIO FLORES

Active
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Individual

BENITO ANTONIO FLORES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011795-1
NY
225XG0600X
Gerontology Occupational Therapist
011795-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
011795-1
NY
225XP0200X
Pediatric Occupational Therapist
011795-1
NY

Other

Enumeration date
04/22/2016
Last updated
04/03/2021
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