Individual provider · Type 1 NPI
Benjmamin Thomas Carlson, PTA
Pediatric Neurodevelopmental Disabilities Physician · Phoenix, AZ
NPI number
1013405497
Active
Practice location
5314 N 7th St
Phoenix, AZ 85014-2805
Mailing address
1157 E Watson Dr
Tempe, AZ 85283-3034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician Primary | 2080P0008X | 13747 (AZ) |
Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
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About NPI 1013405497
Benjmamin Thomas Carlson, PTA's National Provider Identifier is 1013405497, issued on May 1, 2018. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Phoenix, AZ. The record was last updated on May 1, 2018.