Individual
MS. MARY LOUISE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5908 MONROE AVE, EVANSVILLE, IN 47715-5052
(812) 477-5761
Mailing address
5908 MONROE AVE, EVANSVILLE, IN 47715-5052
(812) 477-5761
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05000616A
IN
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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