Individual
DEREK BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2390 RIX MILLS RD, NEW CONCORD, OH 43762-9786
(740) 683-5081
Mailing address
2390 RIX MILLS RD, NEW CONCORD, OH 43762-9786
(740) 683-5081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019053
OH
Other
Enumeration date
02/16/2021
Last updated
08/01/2022
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