Individual
MR. BENJAMIN S. MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
651 S OAK TREE DR, COVINA, CA 91723-3612
(626) 500-9324
Mailing address
651 S OAK TREE DR, COVINA, CA 91723-3612
(626) 500-9324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32235
CA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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