Individual
CLINT D BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 LAS COLINAS BLVD W APT 441, IRVING, TX 75039-5475
(316) 312-2716
Mailing address
301 LAS COLINAS BLVD W APT 441, IRVING, TX 75039-5475
(316) 312-2716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2124679
TX
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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