Organization
AMN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY WAYNE BENNETT II DPT (PHYSICAL THERAPIST)
(704) 293-0202
Entity
Organization
Contact information
Practice address
2810 16TH ST NE, HICKORY, NC 28601-9600
(888) 367-0318
Mailing address
3015 RIVER CHASE DR. APT. W, MOUNT HOLLY, NC 28120
(704) 293-0202
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
NC13484
NC
Other
Enumeration date
02/22/2014
Last updated
02/25/2014
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