IndividualActive
Benjamin Willow, DPT
NPI 1104287473 · Orthopedic Physical Therapist · Albuquerque, NM
Provider details
- NPI number
- 1104287473
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
600 Central Ave Se
Suite D
Albuquerque, NM 87102-3656
Phone: (505) 242-2294
Fax: (505) 242-2917
Approximate (ZIP-level) locationGet directions
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Registry dates
- Enumerated
- 2016-03-15
- Last updated
- 2017-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.