Individual
MS. ALANA MARIE BENCIVENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
CORNER OF ROUTE 12 AND 7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11759
AZ
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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