IndividualActive
Benjmamin Carlson, PTA
NPI 1013405497 · Pediatric Neurodevelopmental Disabilities Physician · Phoenix, AZ
Provider details
- NPI number
- 1013405497
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13747 (AZ)
Mailing address
1157 E Watson Dr
Tempe, AZ 85283-3034
Registry dates
- Enumerated
- 2018-05-01
- Last updated
- 2018-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.