Individual
DANIEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9159 RED BRANCH RD STE F, COLUMBIA, MD 21045-2041
(301) 887-5689
Mailing address
9159 RED BRANCH RD, COLUMBIA, MD 21045-2041
(410) 368-1023
(410) 368-1047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25002
MD
Other
Enumeration date
05/27/2014
Last updated
04/15/2021
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