Individual
BENJAMIN SCOTT SHANABERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
901 PROGRESSO DR, SUITE 208, FORT LAUDERDALE, FL 33304-1943
(954) 463-1777
Mailing address
2334 SW 18TH TER, APT. A, FORT LAUDERDALE, FL 33315-1814
(305) 527-5481
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA62151
FL
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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