Individual
BENJAMIN WILLIAM KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1830 HACIENDA DR STE 2, VISTA, CA 92081-4544
(760) 941-8600
Mailing address
1830 HACIENDA DR STE 2, VISTA, CA 92081-4544
(760) 941-8600
(760) 941-1220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB279765
PTAN
CA
Enumeration date
11/18/2014
Last updated
05/06/2020
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