Individual
DANIELLE NICOLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
540 W CROSSVILLE RD STE 203, ROSWELL, GA 30075-7524
(678) 585-0175
(678) 585-7483
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012994
GA
Other
Enumeration date
08/21/2017
Last updated
04/17/2020
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