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Individual

ELIZABETH BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
682 HIGHWAY 3400, JENKINS, KY 41537-8940
(606) 634-3872
Mailing address
682 HIGHWAY 3400, JENKINS, KY 41537-8940
(606) 634-3872

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02448
KY

Other

Enumeration date
02/20/2015
Last updated
02/20/2015
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