Individual
BRYAN S BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
2340 E CENTRE AVE, PORTAGE, MI 49002-4465
(269) 327-7075
(269) 327-7196
Mailing address
6431 STURBRIDGE DR, KALAMAZOO, MI 49004-9653
(269) 343-1372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010971
MI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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