Individual
CECILIA MARGARET BENZINGER GLEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
2004 SANDBRIDGE RD STE 102, VIRGINIA BEACH, VA 23456-4084
(757) 301-6316
(757) 301-6419
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207158
VA
225100000X
Physical Therapist
PT-05552
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205812575
—
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
12/19/2005
Last updated
04/16/2018
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