Organization
THERESA M. BENZ
Active
Other names
Shapes & Lace
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M. BENZ (OWNER)
(610) 604-0950
Entity
Organization
Contact information
Practice address
1001 BALTIMORE PIKE, SUITE 205, SPRINGFIELD, PA 19064-2852
(610) 604-0950
Mailing address
1001 BALTIMORE PIKE, SUITE 205, SPRINGFIELD, PA 19064-2852
(610) 604-0950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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