Individual
BENJAMIN P MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7900 W JEFFERSON BLVD, SUITE 304, FORT WAYNE, IN 46804-4128
(260) 969-6200
(260) 969-6201
Mailing address
PO BOX 8857, FORT WAYNE, IN 46898-8857
(260) 969-6200
(260) 969-6201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009979A
IN
Other
Enumeration date
08/13/2009
Last updated
12/01/2010
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