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Individual

CARISSA BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
420 N HIGGINS AVE STE B, MISSOULA, MT 59802-4524
(406) 542-3333
(406) 542-3365
Mailing address
420 N HIGGINS AVE STE B, MISSOULA, MT 59802
(406) 542-3333
(406) 542-3365

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009PT
MT

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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