Individual
DEBORAH J BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1280 N MILDRED RD STE 2, CORTEZ, CO 81321-2212
(970) 564-0311
(970) 564-0313
Mailing address
1280 N MILDRED RD STE 2, CORTEZ, CO 81321-2212
(970) 564-0311
(970) 564-0313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9067
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48085359
—
CO
Enumeration date
07/05/2007
Last updated
10/15/2010
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