Doctor Name: | PATRICIA BENTON |
NPI Number: | 1932167129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 5201005194 |
Business Practice Address: | 1061 W Hackley Ave Muskegon, MI - 494413059 |
Business Phone Number: | 2317552255 |
Business Fax Number: | |
Mailing Address: | 5231 Davis Rd, MUSKEGON |
State: | MI |
Postal Code: | 494415803 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5201005194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |