Individual
BENJAMIN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1551 N WALNUT AVE, STE 47, NEW BRAUNFELS, TX 78130-6045
(832) 495-9078
Mailing address
1551 N WALNUT AVE, STE 47, NEW BRAUNFELS, TX 78130-6045
(830) 358-1151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1186270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3681967
—
TX
Enumeration date
01/28/2016
Last updated
06/27/2017
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