Individual
ROBERT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 574-1823
Mailing address
1705 NW DODGE CT, WALDPORT, OR 97394-9425
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
61918
OR
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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