BENJAMIN JACOB ANDRES

SUPERIOR, WI
NPI1922675677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A2555)
Enumeration Date2021-06-09
Last Update Date2021-06-09
Business Address
BENJAMIN JACOB ANDRES PTA
35 N 28TH ST
SUPERIOR, WI 54880-5557
Phone number: 715-392-3300
Mailing Address
BENJAMIN JACOB ANDRES PTA
5 W 10TH ST
DULUTH, MN 55806-2533
Phone number: 715-573-6364
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