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BENJAMIN ROBERT CARPENTER LAT, ATC, NSCF CPT

>> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1356400394

Individual Registrant:
 BENJAMIN ROBERT CARPENTER LAT, ATC, NSCF CPT
Gender: M
Sole Proprietor

Location and contact information for practice:
1025 LEONARDS WAY  ARGUSVILLE, ND 58005-9602 US
Tel: 701-484-5014  Fax: --

Contact information for business:
1025 LEONARDS WAY  ARGUSVILLE, ND 58005-9602 US
Tel: 701-484-5014  Fax: --

Registration Information:
NPI: 1356400394
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225500000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
ND203-99

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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