Individual
MR. BENJAMIN C SOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
16147 LANCASTER HWY, SUITE 130, CHARLOTTE, NC 28277-2050
(704) 542-8855
(704) 542-8900
Mailing address
16147 LANCASTER HWY, SUITE 130, CHARLOTTE, NC 28277-2050
(704) 542-8855
(704) 542-8900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11209
NC
225100000X
Physical Therapist
PT19470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9162
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/06/2006
Last updated
10/13/2011
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