Individual
AUSTIN H. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2011 ENTERPRISE DR, FOREST, VA 24551-2653
(434) 851-0091
Mailing address
2011 ENTERPRISE DR, FOREST, VA 24551-2653
(434) 851-0091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215767
VA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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