Individual
BRANDY A BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
508 UNIVERSITY AVE, LAS VEGAS, NM 87701-4349
(505) 454-0443
(505) 454-0498
Mailing address
508 UNIVERSITY AVE, LAS VEGAS, NM 87701-4349
(505) 454-0443
(505) 454-0498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4586
NM
Other
Enumeration date
07/25/2014
Last updated
07/14/2015
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