Individual
RASHIDA BENNETT EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13218 STOEPEL ST, DETROIT, MI 48238-3187
(313) 989-5667
Mailing address
4167 VAN DYKE ST, DETROIT, MI 48214-1151
(313) 989-5667
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7501009629
MI
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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