Individual
BENJAMIN FRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
126 S CANYON ST, CARLSBAD, NM 88220-5733
(575) 628-0503
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 439-1397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3852
NM
Other
Enumeration date
06/15/2010
Last updated
04/19/2017
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