Individual
KENT BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1826 AILOR AVE, KNOXVILLE, TN 37921-5802
(865) 524-2743
Mailing address
2425 FOUNTAIN VIEW DR, HOUSTON, TX 77057-4823
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6181
TN
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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