Individual
MRS. AMY LEEANN BENECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10981 MEADS, ORANGE, CA 92869-2112
(714) 322-7510
Mailing address
10981 MEADS, ORANGE, CA 92869-2112
(714) 322-7510
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6418
CA
Other
Enumeration date
02/19/2010
Last updated
01/20/2011
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