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NPI Code Detail

MEDICARE: MR. BENJAMIN T HARWOOD MSPT

MEDICARE: MR. BENJAMIN T HARWOOD MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist28764CA

General Provider Information

NPI Number : 1841495868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BENJAMIN T HARWOOD MSPT
Provider Business Mailing Address
First Line : 3959 RUFFIN RD STE F
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1830
Country : US
Telephone Number : 858-279-5570
Fax Number :
Provider Business Practice Location Address
First Line : 3959 RUFFIN RD STE F
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1830
Country : US
Telephone Number : 858-279-5570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 12/18/2007

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Directions to “ MR. BENJAMIN T HARWOOD MSPT” Practice Location

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