Individual
MRS. DENISE A BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1615 BLACKLSTON VIEW DRIVE, SUITE B, CLARKSVILLE, IN 47129
(812) 288-8817
(812) 288-8837
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(866) 800-9147
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007842A
IN
Other
Enumeration date
07/06/2006
Last updated
10/05/2007
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