Individual
JAMES STEPHENSON BENAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
100 EMMA DR, TROY, AL 36081-2585
(334) 670-5435
(334) 670-5234
Mailing address
1711 COLLEGE AVE, JACKSON, AL 36545-2425
(251) 246-5761
(251) 246-5665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH9653
STATE PHYSICAL THERAPIST LICENSE
AL
Enumeration date
11/07/2019
Last updated
11/07/2019
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