Individual
MR. BENJAMIN MARTIN GRAVES
Active
Individual
MR. BENJAMIN MARTIN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT0000007124
TN
225100000X
Physical Therapist
Primary
PT0000007124
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q072636
—
TN
Enumeration date
05/14/2007
Last updated
06/15/2022
Update your record
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