Individual
THOMAS JAMES BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4256
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007334005
BLUE CROSS
—
05
—
228855
—
OR
01
—
A008
TRICARE
—
Enumeration date
01/03/2007
Last updated
04/09/2024
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