Individual
CHRISTOPHER PATRICK BENINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 TABOR RD, SHREWSBURY, VT 05738-9427
(347) 804-4794
Mailing address
109 TABOR RD, SHREWSBURY, VT 05738-9427
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
010654
NY
225200000X
Physical Therapy Assistant
Primary
2137133
TX
225200000X
Physical Therapy Assistant
6546
NC
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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