Individual
JOHN ANTHONY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
400 ROUNDS DR, FENTON, MI 48430-1724
(810) 750-1996
Mailing address
5440 WILDWOOD DR, HOWELL, MI 48843-9184
(810) 750-1996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003785
MI
Other
Enumeration date
06/13/2006
Last updated
11/24/2007
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