Individual
BENJAMIN WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 353-3343
(812) 353-3346
Mailing address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 353-3343
(812) 353-3346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011880A
IN
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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