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NPI Code Detail

MEDICARE: JEREMY P BENSON PT

MEDICARE: JEREMY P BENSON PT
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
1225100000XPhysical TherapistPT007671LPA

General Provider Information

NPI Number : 1144201435
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY P BENSON PT
Provider Business Mailing Address
First Line : 4950 BUFFALO RD STE 104
Second Line :
City : ERIE
State : PA
Zip : 16510-2304
Country : US
Telephone Number : 814-899-7000
Fax Number :
Provider Business Practice Location Address
First Line : 4950 BUFFALO RD STE 104
Second Line :
City : ERIE
State : PA
Zip : 16510-2304
Country : US
Telephone Number : 814-899-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 01/25/2023

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Directions to “ JEREMY P BENSON PT” Practice Location

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