Individual
ERIC BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MA
2251S0007X
Sports Physical Therapist
—
—
2255A2300X
Athletic Trainer
1498
NC
Other
Enumeration date
01/06/2014
Last updated
02/07/2023
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