Benjamin Widener

NPI #1063656635 in Lawndale, California

Provider Information

NPI Number
1063656635
Entity Type
Individual
Name
Benjamin Widener
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Apr 27, 2009
Last Updated
Apr 27, 2009

Practice Location

Address
15342 HAWTHORNE BLVD
Address 2
SUITE 102
ZIP Code
90260-2152
Phone
(310) 542-4825

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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