Individual
KENNETH MICHAEL BEBENROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6402 PELHAM DR, PARMA, OH 44129-4646
(440) 842-1069
Mailing address
6402 PELHAM DR, PARMA, OH 44129-4646
(440) 842-1069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-001720
OH
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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