Benjamin John Faulstick

NPI #1366004194 in Madison, Indiana

Provider Information

NPI Number: 1366004194
Entity Type: Individual
Name: Benjamin John Faulstick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jul 2, 2019
Last Updated: Jul 3, 2019

Practice Location

Address: 2420 WILSON AVE
City: Madison
State: Indiana
ZIP Code: 47250-2135
Phone: (812) 265-8226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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