Individual
ROBERT BENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 US HIGHWAY 22 STE D, SPRINGFIELD, NJ 07081-3581
(908) 325-3000
Mailing address
1118 WORTH DR, SOUTH PLAINFIELD, NJ 07080-2117
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
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