Individual
BENJAMIN DARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, SAN ANTONIO, TX 78234-4501
(210) 619-6190
Mailing address
12900 E LOOP 1604 N APT 532, UNIVERSAL CITY, TX 78148-3175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03513
IA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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