Individual
BENJAMIN TEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8403 EDEN ST, HENRICO, VA 23228-3054
(540) 529-2284
Mailing address
8403 EDEN ST, HENRICO, VA 23228-3054
(540) 529-2284
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605849
VA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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