Individual
BENIGNO AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
Mailing address
1736 SUNSET DR, HAMILTON, OH 45013-2235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011063A
IN
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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