Individual
BENJAMIN TIMOTHY STECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 MATISSE DR APT 3046, FORT WORTH, TX 76107-2481
(563) 370-4425
Mailing address
900 MATISSE DR APT 3046, FORT WORTH, TX 76107-2481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1276107
TX
225100000X
Physical Therapist
5377
NM
225100000X
Physical Therapist
60910273
WA
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
12/07/2018
Last updated
12/11/2018
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