IndividualActive
Benjamin Slayback
NPI 1376419697 · Recreation Therapist · San Diego, CA
Provider details
- NPI number
- 1376419697
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sole proprietor
- No
- License
- 5039 (CA)
Practice location
3517 Camino Del Rio S Ste 404
Ste. 404
San Diego, CA 92108-4039
Phone: (619) 963-2362
Mailing address
3517 Camino Del Rio S Ste 404
San Diego, CA 92108-4039
Registry dates
- Enumerated
- 2025-10-14
- Last updated
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.