Individual
MRS. ANN MARIE BENJAMIN
Active
Individual
MRS. ANN MARIE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NC2885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079A1
BC BS
NC
01
—
5947795
AETNA
NC
01
—
D9500
MEDCOST
NC
Enumeration date
03/28/2007
Last updated
07/08/2007
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