Individual
ROBERT BENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01100400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR01100400
OCCUPATIONAL THERAPIST LICENSE
NJ
Enumeration date
12/13/2022
Last updated
12/13/2022
Update your record
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