Individual
BENJAMIN F GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129
(325) 223-6300
Mailing address
4601 HARTFORD ST, ABILENE, TX 79605-4603
(325) 793-3537
(325) 793-3587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1392858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1392858
COMMERCIAL
TX
05
—
1392858
—
TX
Enumeration date
05/28/2024
Last updated
05/28/2024
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