Provider Demographics
NPI:1083772388
Name:WOBKER, BENJAMIN BENJAMIN (MS PT)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:BENJAMIN
Last Name:WOBKER
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
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Mailing Address - Street 1:209 KIRKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6503
Mailing Address - Country:US
Mailing Address - Phone:425-629-3502
Mailing Address - Fax:425-629-3517
Practice Address - Street 1:8495 161 AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052
Practice Address - Country:US
Practice Address - Phone:425-881-3001
Practice Address - Fax:475-881-3585
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2020-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00008352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist