Organization
ROBERT BENNER PT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C BENNER PT (OWNER)
(207) 465-4601
Entity
Organization
Contact information
Practice address
895 KENNEDY MEMORIAL DR, UNIT 3, OAKLAND, ME 04963-4874
(207) 465-4601
(207) 465-4602
Mailing address
PO BOX 1744, WATERVILLE, ME 04903-1744
(207) 465-4601
(207) 465-4602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT543
ME
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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