Individual
RUDY BENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
644 FRANKLIN PL, PHILADELPHIA, PA 19123-3410
(267) 776-9720
Mailing address
644 FRANKLIN PL, PHILADELPHIA, PA 19123-3410
(267) 776-9720
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011019
PA
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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