Individual
MR. ROBERT J BENSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
4605 MACCORKLE AVENUE SW, SOUTH CHARLESTON, WV 25309
(304) 766-3589
(304) 766-3793
Mailing address
37 MILL CREEK XING, HURRICANE, WV 25526-8701
(304) 389-9283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WV002427
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1714911
BLUE CROSS BLUE SHIELD
WV
01
—
31150445300
WORKERS COMP
WV
05
—
3810000-760
—
WV
01
—
7808579
AETNA
WV
Enumeration date
12/15/2006
Last updated
02/05/2008
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