Individual
MR. BENJAMIN TALINO SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BACHELOR'S DEGREE
Contact information
Practice address
14 LOST TREASURE CV, JACKSON, TN 38305-6036
(731) 693-7819
(731) 424-1266
Mailing address
14 LOST TREASURE CV, JACKSON, TN 38305-6036
(731) 693-7819
(731) 424-1266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4365
TN
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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