Individual
BENJAMIN EVAN BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15302 EL PRADO RD, CHINO, CA 91710-7659
(909) 393-7222
Mailing address
3100 CHINO HILLS PKWY UNIT 222, CHINO HILLS, CA 91709-4232
(661) 304-5277
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
305541
CA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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