Individual
CHRISTOPHER EARL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070016895
IL
225100000X
Physical Therapist
Primary
2005005711
MO
2251X0800X
Orthopedic Physical Therapist
070016895
IL
2251X0800X
Orthopedic Physical Therapist
2005005711
MO
Other
Enumeration date
07/31/2006
Last updated
03/25/2014
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