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Benjamin Douglass, DPT
NPI 1508277120 · on the registry since 2014
Practice
- Address
- 120 E Pine St
Caldwell, ID 83605 - Phone
- (208) 454-5142
- Fax
- (208) 454-5148
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho