BENJMAMIN THOMAS CARLSON

PHOENIX, AZ
NPI1013405497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080P0008X Pediatrics, Neurodevelopmental Disabilities
(Licence: AZ  13747)
Enumeration Date2018-05-01
Last Update Date2018-05-01
Business Address
BENJMAMIN THOMAS CARLSON PTA
5314 N 7TH ST
PHOENIX, AZ 85014-2805
Phone number: 602-277-5006
Mailing Address
BENJMAMIN THOMAS CARLSON PTA
1157 E WATSON DR
TEMPE, AZ 85283-3034
Phone number:
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