Individual
KAITLIN BENNETT NEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
Mailing address
12300 APACHE AVE APT 1721, SAVANNAH, GA 31419-2338
(912) 656-6752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016335
GA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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