Individual
MR. BENJAMIN C ROBARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1500 MIDMEADOW LN, FESTUS, MO 63028-1544
(636) 937-4920
Mailing address
2707 BREAKWATER DR, IMPERIAL, MO 63052-4318
(919) 648-8572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021029778
MO
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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