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Individual

MS. SUSAN BENJOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
23293 BOCA CHICA CIR, BOCA RATON, FL 33433-7299
(954) 881-6261
(561) 361-2326
Mailing address
23293 BOCA CHICA CIR, BOCA RATON, FL 33433-7299

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT17758
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
884749500
FL
Enumeration date
10/18/2006
Last updated
11/19/2012
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