Individual
BENJAMIN DEPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 E GREENVILLE ST, ANDERSON, SC 29621-1575
(864) 964-0505
Mailing address
2005 E GREENVILLE ST, ANDERSON, SC 29621-1575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7855
SC
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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