Individual
BENJAMIN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 DEVONSHIRE SQ STE 7, JACKSON, TN 38305-2267
(731) 660-5902
Mailing address
PO BOX 78, JACKS CREEK, TN 38347-0078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5299
TN
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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