Doctor Name: | SAMUEL DALOGDOG BENIGNO |
NPI Number: | 1700216371 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT3635 |
Business Practice Address: | 24 Hospital Ln Calais, ME - 046191329 |
Business Phone Number: | 2074542544 |
Business Fax Number: | |
Mailing Address: | 1 Orchard Drive, FREDERICTON |
State: | NEW BRUNSWICK |
Postal Code: | E3C1K8 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/19/2013 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT3635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |