Individual
LOT DI BENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1607 7TH ST, STE C, LAS VEGAS, NM 87701-4952
(505) 454-1213
Mailing address
1607 7TH ST, STE C, LAS VEGAS, NM 87701-4952
(469) 693-2568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1220967
TX
225100000X
Physical Therapist
Primary
36565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46956204
—
NM
Enumeration date
06/20/2011
Last updated
10/21/2019
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