Individual
TIMOTHY RICHARD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 CENTER RD, DUDLEY, MA 01571-6310
(508) 213-2183
Mailing address
114 CENTER RD, DUDLEY, MA 01571-6310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2348
MA
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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