Noelle Marie Benderavich, OTR/L
Occupational Therapist in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1144531286
StatusActive
Last updated in NPPESJun 23, 2010
Details
- NPI
- 1144531286
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Noelle Marie Benderavich
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2010
- Last updated
- Jun 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OC003822L | PA | Yes |
Practice location
53 Gravel StWilkes Barre, PA 18705-3738
Phone 570-371-5600
Mailing address
28 Laflin RdWilkes Barre, PA 18702-7235
Phone 570-655-0549
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