Individual
BENJAMIN DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2920 RONALD REAGAN BLVD STE 106, CUMMING, GA 30041-7578
(770) 887-0502
(770) 887-0054
Mailing address
2400 WISTERIA DR STE A, SNELLVILLE, GA 30078-2689
(770) 982-0102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015515
GA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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