Individual
BENJAMIN ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2337
(804) 730-4148
Mailing address
13601 CARTWRIGHT LN, RICHMOND, VA 23233-7612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604988
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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