Individual
MR. THOMAS LOWELL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT/ATC
Contact information
Practice address
7675 BALTIMORE AVE, R 0100, COLLEGE PARK, MD 20740
(301) 405-5711
Mailing address
7675 BALTIMORE AVE, R 0100, COLLEGE PARK, MD 20740
(301) 405-5711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00494
MD
Other
Enumeration date
04/18/2016
Last updated
04/30/2020
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