Individual
BENJAMIN THOMAS NYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11340 W BELL RD STE A-101, SURPRISE, AZ 85378-9342
(623) 226-6644
Mailing address
9680 W NORTHERN AVE UNIT 1110, PEORIA, AZ 85345-4641
(406) 868-2225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014975
AZ
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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