Individual
PATRICIA SUZANNE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3400 LARAMIE DR, BOZEMAN, MT 59718-2005
(406) 586-5694
Mailing address
5253 CLEARVIEW RD, BELGRADE, MT 59714-8633
(740) 398-9537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-17296
MT
Other
Enumeration date
01/03/2020
Last updated
01/21/2020
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