Individual
MR. BENJAMIN C ISIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT/L
Contact information
Practice address
12832 GARDEN GROVE BLVD., SUITE A, GARDEN GROVE, CA 92843-2002
(714) 534-1100
(714) 534-1140
Mailing address
12832 GARDEN GROVE BLVD., SUITE A, GARDEN GROVE, CA 92843-2002
(714) 534-1100
(714) 534-1140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16394
CA
Other
Enumeration date
09/22/2006
Last updated
05/29/2009
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