Individual
JEAN MARIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2007 W 75TH PL, INDIANAPOLIS, IN 46260-3119
(317) 847-5184
Mailing address
2007 W 75TH PL, INDIANAPOLIS, IN 46260-3119
(317) 847-5184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000676A
IN
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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