Individual
KATHARINE J BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1003B OAK RD SW, LILBURN, GA 30047-1826
(770) 979-3272
Mailing address
1003B OAK RD SW, LILBURN, GA 30047-1826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009779
GA
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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