MEDICARE: MRS. CLAIRE WINCH BENEDICT OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT011731	OH
2	225X00000X	Occupational Therapist	OT22478	FL

General Provider Information

NPI Number	:	1164193579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CLAIRE WINCH BENEDICT OTR/L

Provider Business Mailing Address
First Line	:	395 PURITAN RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2903
Country	:	US
Telephone Number	:	561-842-8996
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 PURITAN RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2903
Country	:	US
Telephone Number	:	561-842-8996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2021
Last Update Date	:	12/19/2022

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