Cassandra Renee Benoit, OTR/L

Individual provider Active NPI Occupational Therapist · Pembroke, NC

NPI 1922518752 · NPPES record last updated Oct 6, 2017

Key facts

NPI
1922518752
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
11321 (NC)
Practice address
310 E Wardell Dr
Pembroke, NC 28372-7997
Phone
(910) 521-1273
NPI assigned
Oct 6, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
11733MAMDClinical Psychologist
11321NCMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11733 MA
Occupational Therapist 225X00000X 11321 NC Yes

Addresses

Primary practice location

310 E Wardell Dr
Pembroke, NC 28372-7997

Mailing address

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630

Other providers in Pembroke, NC

All providers in Pembroke, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.