Individual
BOAZ I. BENNOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2812 DAMASCUS CT, APT. E, BALTIMORE, MD 21209-3030
(410) 318-8623
Mailing address
2812 DAMASCUS CT, APT. E, BALTIMORE, MD 21209-3030
(410) 318-8623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19258
MD
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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