Individual
MS. EILEEN MALLOY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, P.T.
Contact information
Practice address
3237 S 16TH ST, 5108, MILWAUKEE, WI 53215-4526
(414) 647-7422
(414) 647-6983
Mailing address
3237 S 16TH ST, 5108, MILWAUKEE, WI 53215-4526
(414) 647-7422
(414) 647-6983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2824
WI
Other
Enumeration date
06/22/2008
Last updated
06/22/2008
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