Individual
BENJAMIN C PEAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
1201 E SEAHORSE LN, GILBERT, AZ 85234-2627
(801) 369-4069
Mailing address
1201 E SEAHORSE LN, GILBERT, AZ 85234-2627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4323
AZ
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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