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Individual
TANNER BENSON
Active
Individual
TANNER BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070025342
IL
225100000X
Physical Therapist
PT-2024-0345
NM
225200000X
Physical Therapy Assistant
160006710
IL
225200000X
Physical Therapy Assistant
2116126
TX
Other
Enumeration date
10/21/2015
Last updated
01/28/2025
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