Individual
MR. BEN GERARD HENDRIKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5520 S HIGHWAY 85 # 87, COLORADO SPRINGS, CO 80911-1463
(719) 391-0044
(719) 391-0012
Mailing address
5520 S HIGHWAY 85 # 87, COLORADO SPRINGS, CO 80911-1463
(719) 391-0044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5944
CO
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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