Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1043758949 |
---|---|
Provider Name | Aimara Benitez |
First Address | Long Beach, CA 90807-4628 |
Second Address | Long Beach, CA 90807-4628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2017 |
Last Update Date | 26/01/2022 |