Individual
STEPHANIE LYNN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(610) 834-7229
Mailing address
3704 VALE LN, PHILADELPHIA, PA 19114-1948
(215) 333-0448
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005077L
PA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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