Individual
MR. BENJAMIN MICHAEL WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
13334 W MILL GROVE DR, GONZALES, LA 70737-6564
(337) 258-7127
Mailing address
13334 W MILL GROVE DR, GONZALES, LA 70737-6564
(337) 258-7127
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
08810
LA
Other
Enumeration date
07/31/2014
Last updated
01/16/2019
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