Individual
MEGAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3830 SHORE DR STE A, INDIANAPOLIS, IN 46254-5658
(317) 298-9746
(317) 290-0847
Mailing address
3830 SHORE DR STE A, INDIANAPOLIS, IN 46254-5658
(317) 298-9746
(317) 290-0847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013692A
IN
Other
Enumeration date
03/09/2020
Last updated
10/18/2021
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