Individual
JENNA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
119 THORN APPLE DR, BUTLER, PA 16001-2329
(724) 283-0518
Mailing address
1286 HARMONY RD, SUSQUEHANNA, PA 18847-7633
(570) 396-7544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011593
PA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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