Individual
MR. BENJAMIN A SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3945 E PARADISE FALLS DR, #109, TUCSON, AZ 85712-6683
(520) 321-0204
(186) 628-1951
Mailing address
PO BOX 43085, TUCSON, AZ 85733-3085
(520) 321-0204
(186) 628-1951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9210
—
AZ
Enumeration date
01/06/2011
Last updated
07/21/2022
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