Individual
MICHELLE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 ROSEDALE DR, MANCHESTER, PA 17345-1022
(717) 812-7400
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEI001854
PA LICENSE
PA
Enumeration date
04/14/2020
Last updated
04/14/2020
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