Provider Demographics
NPI:1699292532
Name:BENAVIDES, DAVID (OTR/L)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BENAVIDES
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 E ARRELLAGA ST APT 1
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2243
Mailing Address - Country:US
Mailing Address - Phone:916-844-8859
Mailing Address - Fax:
Practice Address - Street 1:2323 DE LA VINA ST STE 106
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3878
Practice Address - Country:US
Practice Address - Phone:805-682-3055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand