Most Relevant Information
Provider Data
| NPI Number: | 1003284001 |
| Provider Name: | BENJAMIN GIBSON DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 21979 |
Most Important Dates
| Enumeration Date: | 09/08/2015 |
| Last Updated: | 09/11/2015 |
Provider Practice Location
43 MILTON ST
ARLINGTON
MA
024748705
Practice Location Phone/Fax
| Phone: | 6415210012 |
| Fax: |
Provider Mailing Location
654 BEACON ST 2
BOSTON
MA
022152099
Provider Mailing Phone/Fax
| Phone: | 6175361161 |
| Fax: | 6175361165 |