MEDICARE: MISS ARMINDA BENAVIDES 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
1	225X00000X	Occupational Therapist	114723	TX

General Provider Information

NPI Number	:	1629402177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ARMINDA BENAVIDES OTR

Provider Business Mailing Address
First Line	:	297 N TREVINOS ST
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-9568
Country	:	US
Telephone Number	:	956-437-4143
Fax Number	:

Provider Business Practice Location Address
First Line	:	5346 E US HIGHWAY 83 STE 2
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-9418
Country	:	US
Telephone Number	:	956-437-4143
Fax Number	:

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

Provider Enumeration Date	:	09/01/2013
Last Update Date	:	04/02/2015

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Directions to “ MISS ARMINDA BENAVIDES OTR” Practice Location

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