Individual
MS. SUSAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2314 FOREST AVE, DURANGO, CO 81301-4867
(970) 375-6471
Mailing address
2314 FOREST AVE, DURANGO, CO 81301-4867
(970) 375-6471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012146
CO
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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