Individual
MISS DEANNA M BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
0610 TERRAPIN TRAIL, UNIVERSITY OF MARYLAND, COLLEGE PARK, MD 20741-0295
(301) 314-7137
(301) 314-9439
Mailing address
706 HOWARDS LOOP, ANNAPOLIS, MD 21401-8740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MO
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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