Individual
JOSEPH BENANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 STONE DALE DR, SIMPSONVILLE, SC 29681-5268
(864) 525-7556
Mailing address
305 STONE DALE DR, SIMPSONVILLE, SC 29681-5268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3632
SC
Other
Enumeration date
11/16/2008
Last updated
11/20/2008
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