MR. Benjamin John Wallis, MSPT

NPI #1871554899 in Novi, Michigan

Provider Information

NPI Number: 1871554899
Entity Type: Individual
Name: MR. Benjamin John Wallis, MSPT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Mar 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 39885 GRAND RIVER
Address 2: STE 300
City: Novi
State: Michigan
ZIP Code: 48375
Phone: (248) 615-0282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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