Individual
CONNOR BENSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 W MAIN ST, TROY, PA 16947-1172
(570) 297-3720
Mailing address
1100 W MAIN ST, TROY, PA 16947-1172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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