Individual
BEN SAMBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4295 BALSAM CIR, TRAVERSE CITY, MI 49696-8328
(989) 280-4753
(231) 947-1250
Mailing address
4295 BALSAM CIR, TRAVERSE CITY, MI 49696-8328
(989) 280-4753
(231) 947-1250
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003246
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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