Individual
STEVEN ALWYN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT/L
Contact information
Practice address
5620 E. TEXAS RD., EAST TEXAS (MACUNGIE), PA 18046
(610) 398-9773
Mailing address
14 FIVE POINTS RD, MACUNGIE, PA 18062-8526
12156796082
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG003670
PA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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