Individual
BENJAMIN CARLOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7810 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-6255
(928) 522-8375
Mailing address
13811 W MARSHALL AVE, LITCHFIELD PARK, AZ 85340-8303
(602) 515-2270
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
LPT-32270
AZ
225100000X
Physical Therapist
Primary
LPT-32270
AZ
Other
Enumeration date
04/08/2022
Last updated
08/22/2023
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