Individual
KATHERINE BISHOP BENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020021628
MO
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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