Individual
MR. DAVID BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15745 DORA AVENUE, SUITE B, TAVARES, FL 32784
(352) 357-8358
Mailing address
PO BOX 1286, UMATILLA, FL 32784-1286
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 19277
FL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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