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Individual

BETHENY J BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
6500 THAYER CTR, OAKLAND, MD 21550-1116
(301) 334-1863
(301) 334-5835
Mailing address
6500 THAYER CTR, OAKLAND, MD 21550-1116
(301) 334-1863
(301) 334-5835

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23734
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186300200
MD
Enumeration date
07/26/2011
Last updated
11/16/2011
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