Individual
BENJAMIN PHILLIP VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
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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