Individual
STEPHANIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 FAIRFAX DR APT 32, FAIRFIELD, AL 35064-1063
(205) 370-0686
Mailing address
407 FAIRFAX DR APT 32, FAIRFIELD, AL 35064-1063
(205) 370-0686
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
132034
AL
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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