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Individual

LINDSAY ANN BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
77 MARKET ST, SUITE B, PALMYRA, VA 22963-4687
(434) 510-7301
(434) 510-7418
Mailing address
771 PILOT HOUSE DR, SUITE A, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10218
CO
225100000X
Physical Therapist
Primary
2305209079
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
02/03/2009
Last updated
02/17/2017
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