Individual
JENNIFER BENEZET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2832 NIGHTINGALE RD, PHILADELPHIA, PA 19154-1628
(267) 242-8196
Mailing address
2832 NIGHTINGALE RD, PHILADELPHIA, PA 19154-1628
(267) 242-8196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
40QB00374400
NJ
225200000X
Physical Therapy Assistant
Primary
TE013079
PA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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