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NPI Profile for THERESA C BENOCK in PORT CHARLOTTE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI # | 1376699462 |
|
| Status | Active | |
| Credentials | O.T.R.,C.H.T. | |
| Entity | Individual | |
| Enumeration date | 01/25/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THERESA C BENOCK
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| AEGIS GROUP PRACTICE, LLC 2500 AARON STREET PORT CHARLOTTE, FL |
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THERESA C BENOCK, O.T.R.,C.H.T.