Individual
BENJAMIN PHILLIP VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9850 GENESEE AVE STE 320, LA JOLLA, CA 92037-1208
(858) 964-9800
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
294934
CA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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