Individual
LISA MARIE BENEVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 COLEMAN ST, SWANSEA, MA 02777-2101
(774) 319-1307
Mailing address
65 COLEMAN ST, SWANSEA, MA 02777-2101
(774) 319-1307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00090
RI
Other
Enumeration date
03/21/2022
Last updated
12/22/2025
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