Individual
THERESA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-8062
Mailing address
123 BRIDLEWOOD AVE, HIGH POINT, NC 27265-1205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
18387
FL
225200000X
Physical Therapy Assistant
Primary
4273
NC
Other
Enumeration date
03/17/2011
Last updated
02/07/2012
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