Individual provider · Type 1 NPI

Fanor Benavidez

Occupational Therapy Assistant · La Grange, IL

NPI number 1316793011 Active

Practice location

35 Shawmut Ave
La Grange, IL 60525-8648

Mailing address

2824 Harvey Ave
Berwyn, IL 60402-2705

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.005735 (IL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1316793011

Fanor Benavidez's National Provider Identifier is 1316793011, issued on Apr 24, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in La Grange, IL. The record was last updated on Apr 24, 2024.