Individual
BENJAMIN THOMAS HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28600 GRAYS SHOP RD, NEWSOMS, VA 23874-2904
(757) 654-6461
Mailing address
5528 CABIN JOHN DR, VIRGINIA BEACH, VA 23464-9011
(814) 619-5275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009277
VA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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