Individual
MRS. NANETTE STEVENS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8 SCHOOL ST, FAIRFIELD, ME 04937-1325
(207) 453-4200
Mailing address
8 SCHOOL ST, FAIRFIELD, ME 04937-1325
(207) 453-4200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT90
ME
2251P0200X
Pediatric Physical Therapist
PT90
ME
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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