GWIN BENJAMIN

PHOENIX, AZ
NPI1720409162
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  0012292)
Enumeration Date2014-01-03
Last Update Date2014-01-03
Business Address
GWIN BENJAMIN
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 970-426-9181
Mailing Address
GWIN BENJAMIN
450 PROSPECTOR AVE
DURANGO, CO 81301
Phone number: