Individual
MR. STEVEN GREGORY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
(910) 792-1455
Mailing address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5999
NC
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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