Individual
JOSHUA ALLEN BENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7618 RIVERDALE DR, NEW PORT RICHEY, FL 34653-5032
(727) 375-0649
Mailing address
7618 RIVERDALE DR, NEW PORT RICHEY, FL 34653-5032
(727) 375-0649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10129
FL
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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