TERRANCE JOHN BENOVSKY

CHICAGO, IL
NPI1134451792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Additional Taxonomies225XM0800X Occupational Therapist, Mental Health
Enumeration Date2010-02-08
Last Update Date2010-02-08
Business Address
-- TERRANCE JOHN BENOVSKY otr/l
4239 N OAK PARK AVE
CHICAGO, IL 60634-1410
Phone number: 773-251-6521
Mailing Address
-- TERRANCE JOHN BENOVSKY otr/l
4239 N OAK PARK AVE
CHICAGO, IL 60634-1410
Phone number: