Alexander Benitez, | |
1211 Granary Ave Ste 102, Bellingham, WA 98225-3091 | |
(360) 389-2747 | |
Not Available |
Full Name | Alexander Benitez |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1211 Granary Ave Ste 102, Bellingham, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679958607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60943886 (Washington) | Primary |
Provider Name | Integrated Rehabilitation Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154369833 PECOS PAC ID: 0042111718 Enrollment ID: O20040115000944 |
Mailing Address | Practice Location Address |
---|---|
Alexander Benitez, 1211 Granary Ave Ste 102, Bellingham, WA 98225-3091 Ph: (360) 389-2747 | Alexander Benitez, 1211 Granary Ave Ste 102, Bellingham, WA 98225-3091 Ph: (360) 389-2747 |
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