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NPI Code Detail

MEDICARE: DARIAN BENOTMANE OTR

MEDICARE: DARIAN BENOTMANE OTR
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
1225X00000XOccupational TherapistOT 3454FL

General Provider Information

NPI Number : 1033318951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIAN BENOTMANE OTR
Provider Business Mailing Address
First Line : 7441 PIERCE ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-7161
Country : US
Telephone Number : 954-989-1924
Fax Number :
Provider Business Practice Location Address
First Line : 5300 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-2104
Country : US
Telephone Number : 305-556-5654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 07/11/2007

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