Individual
CHAISE A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2040 GAUSE BLVD, SUITE 6, SLIDELL, LA 70461
(985) 646-2440
(877) 545-9491
Mailing address
2040 GAUSE BLVD, SUITE 6, SLIDELL, LA 70461
(985) 646-2440
(877) 545-9491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08837R
LA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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