Individual
BENJAMIN LEE HANNULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1 N TACOMA AVE STE 103, TACOMA, WA 98403-3131
(253) 274-1884
Mailing address
1 N TACOMA AVE STE 103, TACOMA, WA 98403-3131
(253) 274-1884
(253) 274-1885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
02/15/2018
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