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Individual

BENJAMIN RADIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2400 PARKSIDE DR, FREMONT, CA 94536-5332
(510) 793-7222
Mailing address
3217 W QUAPAW RD, ROGERS, AR 72758-1301
(540) 239-7437

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4143
AR

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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