Individual provider · NPI-1

Benjamin Joshua Cruz Bartolome, PT

Physical Therapist · Joplin, MO

NPI number1932404845
StatusActive
Last updated in NPPESJan 24, 2011

Details

NPI
1932404845
Entity type
Individual (NPI-1)
Name
Mr. Benjamin Joshua Cruz Bartolome
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Jan 24, 2011
Last updated
Jan 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070.017758ILYes

Practice location

214 W 5th St Ste D&E
Joplin, MO 64801-2501

Phone 417-782-2917 · Fax 417-782-7038

Mailing address

214 W 5th St Ste D&E
Joplin, MO 64801-2501

Phone 417-782-2917 · Fax 417-782-7038

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