Individual
MR. BENJAMIN MICHAEL GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3745 SUMMER CREST DR, SAN ANGELO, TX 76901-9782
(325) 942-7700
Mailing address
3745 SUMMER CREST DR, SAN ANGELO, TX 76901-9782
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2071416
TX
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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