Individual
BENJAMIN KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3900 GARFIELD AVE, CARMICHAEL, CA 95608-6647
(916) 481-6455
Mailing address
3831 GIBBONS PKWY, CARMICHAEL, CA 95608-2247
(916) 468-8845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302375
CA
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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