NPI 1316793011

Fanor Benavidez

Practitioner Occupational Therapy Assistant La Grange, IL

Practice location

Address: 35 Shawmut Ave, La Grange, IL 60525-8648
Phone: (708) 206-9899
Mailing address: 2824 Harvey Ave, Berwyn, IL 60402-2705

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.005735 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1316793011
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2024
Record last updated: 24 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.