IndividualActive
Benjamin Wilt, PT, DPT, OCS
NPI 1265840516 · Orthopedic Physical Therapist · Gonzales, LA
Provider details
- NPI number
- 1265840516
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, OCS
- Sex
- Male
- Sole proprietor
- No
- License
- 08810 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
13334 W Mill Grove Dr
Gonzales, LA 70737-6564
Phone: (337) 258-7127
Approximate (ZIP-level) locationGet directions
Mailing address
13334 W Mill Grove Dr
Gonzales, LA 70737-6564
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2019-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.