Individual
BENJAMIN SAMUEL BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1900 POWELL ST, STE 6079, EMERYVILLE, CA 94608-1811
(510) 593-7062
(510) 336-2654
Mailing address
603 LITTLE LN, PLEASANT HILL, CA 94523-2178
(510) 869-6511
(510) 869-6282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27777
CA
2251G0304X
Geriatric Physical Therapist
27777
CA
2251X0800X
Orthopedic Physical Therapist
27777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FM306Z
MEDICARE PTAN
CA
Enumeration date
08/11/2011
Last updated
04/05/2017
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