Individual
BENJAMIN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
450 PROSPECTOR AVE, DURANGO, CO 81301-7940
(970) 828-1414
Mailing address
450 PROSPECTOR AVE, DURANGO, CO 81301-7940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014186
CO
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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