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MR. ANACLETO R BENITO PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1699973362

Individual Registrant:
MR. ANACLETO R BENITO PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1000 W 10TH ST  ROLLA, MO 65401-2905 US
Tel: 573-458-7140  Fax: --

Contact information for business:
817 SOEST RD  ROLLA, MO 65401-3447 US
Tel: --  Fax: --

Registration Information:
NPI: 1699973362
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MOPT106572

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MO - Page 1

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