Individual
BENJAMIN A WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2516 FAIRWOOD CT, BEACHWOOD, OH 44122-1765
(812) 361-6212
Mailing address
2516 FAIRWOOD CT, BEACHWOOD, OH 44122-1765
(812) 361-6212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22202
MA
225100000X
Physical Therapist
292009
CA
225100000X
Physical Therapist
Primary
PT017332
OH
Other
Enumeration date
02/17/2016
Last updated
04/30/2018
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