Individual
LATAY DIONNA BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4200 PARLIAMENT PL, LANHAM, MD 20706-1852
(240) 245-4370
Mailing address
6317 HOLLY LN APT A, BALTIMORE, MD 21212-2353
(443) 474-3400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27587
MD
Other
Enumeration date
04/28/2018
Last updated
09/04/2019
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