Organization
BENNETT CLINIC LLC
Active
Organization
BENNETT CLINIC LLC
Active
Other names
Bennett Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BENNETT (OFFICER)
(928) 771-8716
Entity
Organization
Contact information
Practice address
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301-1428
(928) 771-9400
(928) 771-9464
Mailing address
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301-1428
(928) 771-9400
(928) 771-9464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10600
AZ
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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