Individual
KEITH M BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
501 JESSIE AVE, SACRAMENTO, CA 95838-2608
(916) 922-8855
Mailing address
1080 JULIE LN SPC 263, SOUTH LAKE TAHOE, CA 96150-6225
(575) 770-8015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51254
CA
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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