Individual
MISS BROOKS LEIGH BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16405 NORTHCROSS DR, SUITEG-2, HUNTERSVILLE, NC 28078-5091
(330) 831-6649
Mailing address
53 DUQUESNE ST, COLUMBIANA, OH 44408-1527
(330) 831-6649
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
PTA 05958
OH
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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