Individual
JOSEPH CHASE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 SOUTH 19TH STREET, 8305A - OFFICE, BIRMINGHAM, AL 35233
(205) 933-8101
Mailing address
910 GRIFFIN PARK CIR, BIRMINGHAM, AL 35242-7099
(256) 453-3328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5037
AL
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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