Individual
PAMLA BENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23352 COURTHOUSE HWY, WINDSOR, VA 23487-5333
(757) 242-3992
Mailing address
23352 COURTHOUSE HWY, WINDSOR, VA 23487-5333
(757) 242-3992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603138
VA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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