Individual
MR. NATHAN MICHAEL BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1235 S CENTER RD STE 12, BURTON, MI 48509-1700
(810) 743-8820
(810) 743-5908
Mailing address
7601 LIONS GATE PKWY, DAVISON, MI 48423-3195
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5502003080
MI
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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