Individual
CRISTIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
165 ROWLAND WAY, STE. 101, NOVATO, CA 94945-5038
(415) 898-1311
Mailing address
11 WALKER RD, MILL VALLEY, CA 94941-1682
(530) 400-8532
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36186
CA
Other
Enumeration date
11/09/2009
Last updated
01/27/2010
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