Doctor Name: | MR. ROBERT J BENSON |
NPI Number: | 1235291980 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, OCS |
License Number: | WV002427 |
Business Practice Address: | 4605 Maccorkle Avenue Sw South Charleston, WV - 25309 |
Business Phone Number: | 3047663589 |
Business Fax Number: | 3047663793 |
Mailing Address: | 37 Mill Creek Xing, HURRICANE |
State: | WV |
Postal Code: | 255268701 |
Phone Number: | 3043899283 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | WV002427 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |