Individual
MADISON JUNE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
510 8TH AVE NE, HAZEN, ND 58545-4600
(701) 748-2225
Mailing address
510 8TH AVE NE, HAZEN, ND 58545-4637
(605) 515-0539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
10/05/2017
Last updated
06/09/2023
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