Individual
MS. CRISTHAL D. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.DIV
Contact information
Practice address
830 B ST, SAN RAFAEL, CA 94901-3003
(415) 459-5843
Mailing address
473 ALAMEDA DE LA LOMA, NOVATO, CA 94949-5967
(415) 328-6959
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
01/13/2017
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