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Individual
GRETCHEN LEIGH BENKO
Active
Individual
GRETCHEN LEIGH BENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 007974-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6558
COLORADO LICENSE NUMBER
CO
01
—
PT 21423
CA PT LICENSE NUMBER
CA
01
—
PT-007974-L
PHYSICAL THERAPY LICENSE
PA
Enumeration date
02/13/2007
Last updated
07/08/2007
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