Individual
DANIEL P BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008615A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363564
ANTHEM - APT PLUS
IN
01
—
000000363578
ANTHEM - 1ST AID PLUS
IN
01
—
000000363579
ANTHEM - MBWOUDE
IN
01
—
P01062367
MEDICARE RAILROAD
IN
Enumeration date
06/07/2006
Last updated
12/14/2017
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