Individual
JUDY JORDAN BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, PCS
Contact information
Practice address
1705 LEIGHTON AVE, ANNISTON, AL 36207-3832
(256) 235-2524
(256) 236-2573
Mailing address
1106 HERITAGE LN NE, JACKSONVILLE, AL 36265-1255
(256) 235-2524
(256) 236-2573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19736
AL
Other
Enumeration date
07/28/2006
Last updated
07/09/2007
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