BENJAMIN D FIGHTMASTER

OTTAWA, IL
NPI1942820352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160008585)
Enumeration Date2020-04-26
Last Update Date2020-04-26
Business Address
BENJAMIN D FIGHTMASTER
1306 GEMINI CIR STE 2
OTTAWA, IL 61350-1695
Phone number: 085-081-5433
Mailing Address
BENJAMIN D FIGHTMASTER
1306 GEMINI CIR STE 2
OTTAWA, IL 61350-1695
Phone number: