Individual
COLLEEN MARY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
196 BIRCH HILL RD, LOCUST VALLEY, NY 11560-1832
(516) 759-9717
(516) 759-1666
Mailing address
421 GRAND BLVD, LONG BEACH, NY 11561-1710
(516) 972-7766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027412
NY
225100000X
Physical Therapist
027412-01
NY
Other
Enumeration date
03/07/2007
Last updated
10/03/2024
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