Individual
RHONDA BENEVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1322 ELTON RD, SUITE I, JENNINGS, LA 70546-4138
(337) 824-5488
Mailing address
1322 ELTON RD, SUITE I, JENNINGS, LA 70546-4138
(337) 824-5488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03053
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT03053
PHYSICAL THERAPY LICENSE
LA
Enumeration date
04/23/2007
Last updated
07/08/2007
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