Individual
BENJAMIN J VALASEK
Active
Individual
BENJAMIN J VALASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011629L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT011629L
PA STATE LICENSE NUMBER
PA
Enumeration date
02/15/2007
Last updated
07/08/2007
Update your record
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