Provider Demographics
NPI:1871711705
Name:BENSINGER, IVETT HABER (OTR)
Entity type:Individual
Prefix:MRS
First Name:IVETT
Middle Name:HABER
Last Name:BENSINGER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:IVETT
Other - Middle Name:MARIA
Other - Last Name:HABER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:100 S HILLCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-1630
Mailing Address - Country:US
Mailing Address - Phone:334-672-4060
Mailing Address - Fax:
Practice Address - Street 1:100 S HILLCREST BLVD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-1630
Practice Address - Country:US
Practice Address - Phone:334-672-4060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1509225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics