Individual
MRS. BRENDA J BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
425 WOODBURY TURNERSVILLE RD, BLACKWOOD, NJ 08012-2960
(856) 374-6600
Mailing address
110 6TH AVE, MOUNT EPHRAIM, NJ 08059-1217
(858) 336-7675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01504900
NJ
Other
Enumeration date
09/04/2013
Last updated
11/04/2015
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