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Individual

BENJAMIN L JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
600 CORLEY AVE, BOAZ, AL 35957-5952
(256) 593-8380
Mailing address
8003 TEA GARDEN RD SE, HUNTSVILLE, AL 35802-3920
(256) 541-4879

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PTH5592
AL

Other

Enumeration date
08/30/2012
Last updated
08/30/2012
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