Individual
BENJAMIN PAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3503 E LAYTON AVE STE 100, CUDAHY, WI 53110-1408
(414) 489-0270
(414) 489-0356
Mailing address
3921 30TH AVE STE C, KENOSHA, WI 53144-1939
(262) 925-5000
(262) 924-9905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13032-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053322
—
WI
Enumeration date
08/04/2015
Last updated
08/13/2021
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