Individual
BENJAMIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77-55 SCHANCK ROAD, STE C3, FREEHOLD, NJ 07728
(732) 414-2490
(732) 414-2489
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02116200
NJ
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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