Healthcare Provider Details

I. General information

NPI: 1154247856
Provider Name (Legal Business Name): ANNA BENFIELD OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 BACON ST
DURHAM NC
27703-5006
US

IV. Provider business mailing address

837 BERWYN AVE
DURHAM NC
27704-3337
US

V. Phone/Fax

Practice location:
  • Phone: 191-956-0236
  • Fax:
Mailing address:
  • Phone: 301-448-6087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number13175
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: