Individual
MR. BENJAMIN L STAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10262 SAWMILL PKWY, POWELL, OH 43065-9189
(614) 791-0700
(614) 791-0702
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18428
OH
225200000X
Physical Therapy Assistant
09587
OH
Other
Enumeration date
08/17/2018
Last updated
09/29/2023
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