Individual
SHARON DIANNE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7878 MARVIN D LOVE FWY APT 4205, DALLAS, TX 75237-3769
(214) 264-9452
Mailing address
7878 MARVIN D LOVE FWY APT 4205, DALLAS, TX 75237-3769
(214) 264-9452
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT124034
TX
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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