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Individual

JEFFREY ALLEN BENOIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PT

Contact information

Practice address
385 SOUTHBRIDGE ST, AUBURN, MA 01501-2498
(508) 721-1101
(508) 721-1102
Mailing address
5 NEPONSET ST FL STREET2, WORCESTER, MA 01606-2714
(508) 721-1101
(508) 721-1102

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15759
MA
225100000X
Physical Therapist
PT01684
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27254-4
BCBS
RI
01
40880
BCHIP
RI
Enumeration date
05/30/2006
Last updated
03/13/2019
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