Individual
DR. MICAH JAMES BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 551-2747
Mailing address
113 MEADOW OAKS DR, BURLESON, TX 76028-2377
(817) 988-8125
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1375911
TX
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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