Individual
EMILY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 VIKING LOOP STE 1, BOSSIER CITY, LA 71111-7421
(318) 746-1199
Mailing address
4350 VIKING LOOP STE 1, BOSSIER CITY, LA 71111-7421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09720
LA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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