Individual
MR. BENJAMIN DAVID DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7945 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-3066
(909) 948-1124
(909) 948-1104
Mailing address
6282 GRETCHEN CT, FONTANA, CA 92336-1039
(909) 948-1124
(909) 948-1104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 27435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 27435
PHYSICAL THERAPY LICENSE
CA
Enumeration date
10/11/2006
Last updated
07/08/2007
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