Individual
MS. MAVIS M BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
109 S MINNESOTA ST, WARREN, MN 56762-1428
(218) 745-3235
Mailing address
42412 US HIGHWAY 75 NW, STEPHEN, MN 56757-9608
(218) 745-3235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0285
ND
225100000X
Physical Therapist
Primary
1483
MN
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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