IndividualActive
Mario Bencivenga, OTR/L, CHT
NPI 1659679801 · Physical Rehabilitation Occupational Therapist · Camp Lejeune, NC
Provider details
- NPI number
- 1659679801
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L, CHT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4750
Fax: (910) 450-3406
Approximate (ZIP-level) locationGet directions
Mailing address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Registry dates
- Enumerated
- 2011-03-10
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.